Glofusion LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GLOFUSION LLC

Doing business as

Glofusion Clinic

Practice address

1705 Williamson Rd Ste 101
Griffin, GA 30224-5471

Phone

(404) 218-8934

Fax

(678) 603-2086

NPI assigned

Dec 7, 2018

Last updated

Mar 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Onyebuchi Nwaokolo, DNPNPI 1639603707

Title

NP

Phone

(678) 603-2898

Specialties & licenses 4

Addresses

Other names 1

• GLOFUSION CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20101/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Onyebuchi Nwaokolo, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Griffin, GA
  • NPI 1639603707
  Medicare reassignment NPD Authorized official
• Judith Fuajong Ngulefac

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
  • NPI 1649787102
  Medicare reassignment NPD

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710028800000",
    "number": "1891266466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WILLIAMSON RD STE 101",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302245471",
            "telephone_number": "678-603-2898",
            "fax_number": "678-603-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WILLIAMSON RD STE 101",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302245471",
            "telephone_number": "404-218-8934",
            "fax_number": "678-603-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "NWAOKOLO",
        "authorized_official_first_name": "ONYEBUCHI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "678-603-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOFUSION CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GLOFUSION CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Gilbreath
• Chantele Denae Giles, M.S., CCC-SLP
• Sharon Gilmore, LCSW
• Kimberly Glass, FNP-C
• Glen P Morehead MD PC (Spalding Oncology Services)
• Clarence Buren Glover Jr., PAC
• Golden Daze Transports, LLC
• Golden Jewels Rehab & Healing, LLC
• Teresa Ann Goldin, M.D.
• Earl S Golightly, MD

• Multi-Specialty Clinic/Center in Griffin, GA
• Providers in Griffin, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.