Glenn E. Jennings, M.D., P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLENN E. JENNINGS, M.D., P.A.

Practice address

2307 W Cone Blvd
Ste 130
Greensboro, NC 27408-4027

Phone

(336) 282-3845

Fax

(336) 282-3846

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn Earl Jennings, M.D.

Title

President

Phone

(336) 282-3845

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1821042235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD",
            "address_2": "STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084027",
            "telephone_number": "336-282-3845",
            "fax_number": "336-282-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD",
            "address_2": "STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084027",
            "telephone_number": "336-282-3845",
            "fax_number": "336-282-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN E. JENNINGS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-282-3845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C. Glasgow, CEO
• Kathryn Grace Glass, BCBA
• Timothy Austin Glasser, M.D.
• Joshua Glatter, PHARMD
• Glenda Liggins (Triad Home Health Agency)
• Katherine Howard Glenn, PHD
• Megan Sears Glenn, LCSW-A
• David Glick, M.D.
• Global Lab Management LLC
• Global Nursing

• Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.