Individual provider Active NPI

Tia N Glover

  • Student in an Organized Health Care Education/Training Program
  • Memphis, TN
National Provider Identifier
1821815994
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
390200000X. Issued in TN
Practice address
874 Union Ave RM 325
Memphis, TN 38103-3514
Phone
(612) 890-1448
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 390200000X. TN Primary

Addresses

Primary practice location

874 Union Ave RM 325
Memphis, TN 38103-3514

Mailing address

874 Union Ave RM 325
Memphis, TN 38103-3514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003750 TN Practitioner - Nurse Practitioner 6608372156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Pulmonary Specialists PCGroup PAC ID 5092700518, 47 clinicians

Practice addresses (Care Compare)

5050 Poplar Ave
Suite 800
Memphis, TN 38157-0800
Phone (901) 276-2662

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
390200000X.TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Pulmonary Specialists PC CurrentSince Sep 15, 2025 Accepting new patients

Locations

5050 Poplar Ave
Ste 800
Memphis, TN 38157
Phone (901) 276-2662

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1821815994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 UNION AVE RM 325",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 UNION AVE RM 325",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033514",
            "telephone_number": "612-890-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "TIA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "390200000X.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.