MR. GLENN E JENNINGS (NPI# 1336196898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336196898 |
| Entity Type | Individual |
| Full Name | MR. GLENN E JENNINGS |
| Credential | M.D. |
| Practice Address |
445 Dolley Madison Rd Ste 410 Greensboro NC 27410-5167 |
| Practice Telephone | 3362921510 |
| Practice Fax Number | 3362920679 |
| Mailing Telephone | 3362921510 |
| Mailing Fax Number | 3362920679 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
200401076 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2004-01076 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
200401076 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 1371F | 01 |
| NC | MEDCOST | D6763 | 01 |
| NC | 891371F | 05 | |
| NC | MANAGED HEALTH NETWORK | 343712 | 01 |
| NC | AETNA | 7654624 | 01 |
| Street Address |
445 DOLLEY MADISON RD STE 410 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184685927 | Teresa T. Hurst | Physician Assistant | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-03-31 |
| 1255669529 | Regina Nattalie Mozingo | Nurse Practitioner | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2009-11-25 |
| 1336219021 | Carson Mcknight Sarvis | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-11-09 |
| 1275612475 | Fredrick Anthony May | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-11-06 |
| 1881786267 | Carey Gordon Cottle Jr. | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-09-29 |
| 1578655072 | Robert Andrew Mitchum | Psychologist | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-09-29 |
| 1114937224 | Jessica Pitts Carter | Nurse Practitioner | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-08-09 |
| 1871525956 | Holly Decann Ingram | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-07-07 |
| 1164458113 | Christopher Andrews | Counselor | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-06-23 |
| 1124069711 | Deborah A. Dowd | Social Worker | 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410-5167 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497098420 | Neuropsychiatric Care Center, Pllc | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 210, Greensboro, NC 27410-5169 | 2013-03-27 |
| 1891012928 | National Mentor Healthcare LLC | Psychiatry & Neurology | 7 Oak Branch Dr Ste C, Greensboro, NC 27407-2392 | 2010-04-29 |
| 1619039013 | Robert Henry Herrick | Psychiatry & Neurology | 201 N Eugene St, Greensboro, NC 27401-2221 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432121 | North Carolina Neuropsychiatry, P.a. | Psychiatry & Neurology | 2080 Energy Dr, Apex, NC 27502-8722 | 2020-06-24 |
| 1073067492 | Teresa Tracy | Psychiatry & Neurology | 817 Mill Rd, Goldsboro, NC 27534-8947 | 2016-08-15 |
| 1659781581 | Il-gyu Cho | Psychiatry & Neurology | 101 Manning Dr. Cb#7160, Unc Department of Psychiatry, Chapel Hill, NC 27599 | 2014-04-30 |
| 1457770299 | Allison Foroobar | Psychiatry & Neurology | 400 Meadowmont Village Cir Ste 421, Chapel Hill, NC 27517-7505 | 2014-04-09 |
| 1386089894 | Christina Melissa Cruz | Psychiatry & Neurology | Department of Psychiatry Clb, 101 Manning Drive, Chapel Hill, NC 27599 | 2013-05-10 |
| 1033484555 | Jean Gaillard Spaulding | Psychiatry & Neurology | 2400 Pratt St Ste 1500, Box 3644 First Floor, Durham, NC 27705-3976 | 2012-03-16 |
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1598063307 | Corine's Care Management, Inc. | Psychiatry & Neurology | 369 B C Hwy 13 South, Snow Hill, NC 28580-9515 | 2011-03-02 |
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
| 1386962876 | Madlena Todorova Rush | Psychiatry & Neurology | Wamc, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2010-05-10 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on MR. GLENN E JENNINGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.