Glendell B. Coleman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN094148 Issued in GA

Practice address

11740 Columbia St
Blakely, GA 39823-2574

Phone

(229) 724-4282

Fax

(229) 724-4283

NPI assigned

Oct 22, 2012

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebrite Hospital Group of Early LLCGroup PAC ID 7810263589, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifebrite Hospital Group of Early LLC

  dba Early Emergency Care

  • Emergency Care Clinic/Center
  • Blakely, GA
  • NPI 1194258129
  Medicare reassignment Care Compare group NPD
• Department of Behavioral Health and Developmental Disabilities

  dba Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307
  Medicare reassignment NPD
• Georgia Pines Community Service Board

  • Community/Behavioral Health Agency
  • Thomasville, GA
  • NPI 1366506958
  Medicare reassignment NPD
• Middle Flint Area Community Service Board

  dba Fort Valley Outpatient

  • Community/Behavioral Health Agency
  • Fort Valley, GA
  • NPI 1366521932
  Medicare reassignment NPD
• Department of Behavioral Health & Developmental Disabilities

  dba Georgial Regional Hospital at Savannah

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD
• Department of Behavioral Health & Developmental Disabilities, Ga

  dba Southwest Community Clinic

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD
• Lifebrite Hospital Group of Early LLC

  dba LifeBrite Family Medical of Early

  • Rural Health Clinic/Center
  • Blakely, GA
  • NPI 1912430224
  NPD
• Lifebrite Hospital Group of Early LLC

  dba Early EMS

  • Ambulance
  • Blakely, GA
  • NPI 1992238430
  NPD
• Middle Flint Area Community Service Board

  dba Middle Flint Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Americus, GA
  • NPI 1487822599
  NPD

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1962755421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 COLUMBIA ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232574",
            "telephone_number": "229-724-4282",
            "fax_number": "229-724-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 COLUMBIA ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232574",
            "telephone_number": "229-724-4282",
            "fax_number": "229-724-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "GLENDELL",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN094148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ford Bruner, PHARM. D.
• Calhoun County Dept of Family & Children Services
• Lakeisha Cannon-Scott, APRN, PMHNP
• Careplus Medical Services LLC
• Robert Allan Cibiras, PA-C
• Melissa Bonner Conner
• Missy Maleigh Cox, NP
• Whitney Alexander Crawford, PHARM D
• Department of Family and Children Services
• Department of Family and Children Services of Seminole County

• Family Nurse Practitioner in Blakely, GA
• Providers in Blakely, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.