Individual provider Active NPI

Glory S. Gilbert, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1891393856
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5013677 Issued in NC
Practice address
301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Phone
(910) 930-8520
Fax
(984) 538-0471
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013677 NC Primary

Addresses

Primary practice location

301 McCullough Dr Ste 400
Charlotte, NC 28262-1336

Mailing address

301 McCullough Dr
Charlotte, NC 28262-3310
Phone (910) 930-8520

Other practice location 1

301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Phone (910) 930-8520

Other names 1

  • Ms. Glory Gilbert Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201217002776 NC Practitioner - Nurse Practitioner 7618389511 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Envisions of Life LLC Psychiatric/Mental Health CurrentSince Dec 15, 2020 Accepting new patients
LLD Laboratories, LLC CurrentSince Nov 27, 2021 Accepting new patients
B & D Integrated Health Services Psychiatric/Mental Health CurrentSince Nov 27, 2021 Accepting new patients
B & D Integrated Health Services Psychiatric/Mental Health CurrentSince Nov 27, 2021 Accepting new patients

Locations

249 E NC Highway 54
Ste 310
Durham, NC 27713
Phone (919) 753-1080

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

5 Centerview Dr
Ste 110
Greensboro, NC 27407
Phone (336) 887-0708

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1891393856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "910-930-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621336",
            "telephone_number": "910-930-8520",
            "fax_number": "984-538-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 McCullough Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621336",
            "country_code": "US",
            "telephone_number": "910-930-8520",
            "fax_number": "984-538-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "GLORY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORY",
            "last_name": "GILBERT",
            "prefix": "MS.",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.