Active NPI
Jeff Glover MD PA
- Surgery Physician
- McComb, MS
National Provider Identifier
1972618056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10993
- Legal business name
- JEFF GLOVER MD PA
- Practice address
- 1311 Aston Avenue
McComb, MS 39648-2825 - Phone
- (601) 684-2481
- Fax
- (601) 684-2488
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Henry Glover, MD
- Title
- President
- Phone
- (601) 684-2481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10993 | MS | Primary |
Addresses
Primary practice location
1311 Aston Avenue
McComb, MS 39648-2825
Mailing address
PO Box 746
McComb, MS 39649-0746
Phone (601) 684-2481
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5023171 | Other | MS | AETNA |
| 00016354 | Medicaid | MS | |
| 1730117 | Other | MS | UNITED HEALTHCARE |
| 1387509 | Other | LA | LOUISIANA MEDICAID |
Other names 1
- Jeffrey H Glover MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- McComb, MS
- NPI 1942412887
-
- Surgery Physician
- Anderson, SC
- NPI 1902872799
-
- Surgery Physician
- Macon, GA
- NPI 1629002365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972618056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490746",
"telephone_number": "601-684-2481",
"fax_number": "601-684-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 ASTON AVENUE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482825",
"telephone_number": "601-684-2481",
"fax_number": "601-684-2488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF GLOVER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GLOVER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-684-2481",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MS",
"license": "10993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5023171",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016354",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1730117",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA MEDICAID",
"identifier": "1387509",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jeffrey H Glover MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.