Jonathan Glaze, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

30330 Issued in MS

Practice address

105 Asbury Cir Ste B
Hattiesburg, MS 39402-1397

Phone

(601) 450-8500

Fax

(601) 450-8501

NPI assigned

Apr 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hattiesburg Eye Clinic, P.a.Group PAC ID 4587733829, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.15 of 100Reported as group

Quality

59.97

Promoting interoperability

100

Improvement activities

40

Cost

80.93

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jonathan.glaze.p1@direct.wesley.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hattiesburg Eye Clinic, P.a.

  • Ophthalmology Physician
  • Hattiesburg, MS
  • NPI 1922110949
  Medicare reassignment Care Compare group NPD
• Wesley & Klippenstein, PC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Nashville, TN
  • NPI 1023025475
  Medicare reassignment NPD
• Hattiesburg Eye Clinic, P.a.

  • Optometrist
  • Laurel, MS
  • NPI 1538369996
  NPD
• Wesley & Klippenstein, PC

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
  • NPI 1679521389
  NPD
• Childrens Hospital of Wisconsin, Inc.

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1245308626
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1821551714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ASBURY CIR STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021397",
            "telephone_number": "601-450-8500",
            "fax_number": "601-450-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ASBURY CIR STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021397",
            "telephone_number": "601-450-8500",
            "fax_number": "601-450-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "30330",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "68334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q083201",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200005320",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305271001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Charles Gillis, DDS
• Aprile Claire Gilmore, M.D.
• Wesley Glenn Girod, M. D.
• Anna Victoria Gladfelter, MD
• Arthur Lamar Glaze, MD
• Juanice Gandy Glaze
• Glendale Healthcare, LLC
• Jerry Quinton Glider, DDS
• Porter Hudson Glover, M.D.
• Maria Godbolt

• Ophthalmology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.