Jamika Glover, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

GAA-NP000606 Issued in GA

Practice address

1120 15TH St
Augusta, GA 30912-3295

Phone

(706) 721-3813

NPI assigned

Mar 17, 2021

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790
  Medicare reassignment NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1962101501
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  GA

  Medicare reassignment NPD
• Renew Yourself Health and Beauty Bar

  • Acute Care Nurse Practitioner
  • Warrenville, SC
  • NPI 1720748668
  NPD Authorized official
• Au Medical Associates Inc

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1356040992
  NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • North Augusta, SC
  • NPI 1508671132
  NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1902481393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309123295",
            "telephone_number": "706-721-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309123295",
            "telephone_number": "706-721-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1467 Oxpens Rd",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "SC",
            "postal_code": "298513295",
            "country_code": "US",
            "telephone_number": "803-645-2489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JAMIKA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "24550",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "GAA-NP000606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF NURSING",
            "identifier": "24550",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "renewyourselfwithivhydration",
            "affiliation": "N",
            "address_1": "1467 Oxpens Rd",
            "city": "Warrenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298513295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Global Allied Health Solutions
• Malorie Brewer Globensky, CRNA
• Carson Tanner Glore, DMD
• Andrea K Glover, M.ED,CCC-SLP
• Andrew Ford Glover, M.D.
• Lynn Bryant Glover, PT
• Nichole Glover, BCABA
• Rebekah Goble
• Dannie Dale Godbee, PT
• Jonei Godbee

• Acute Care Nurse Practitioner in Augusta, GA
• Providers in Augusta, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.