PETRA S GLOVER


Address: 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6802
Phone: 7065657382

PETRA S GLOVER (NPI# 1730615790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730615790
Entity Type Individual
Full Name PETRA S GLOVER
Credential NP-C
Practice Address 2300 Manchester Expy
Ste 1003
Columbus
GA 31904-6802
Mailing Address Po Box 7335
Columbus
GA 31908-7335
Practice Telephone 7065657382
Practice Fax Number 7065659110
Mailing Telephone 7063203128
Mailing Fax Number 7063203230
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN150430 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2300 MANCHESTER EXPY
STE 1003
City COLUMBUS
State GA
Zip Code 31904-6802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811994403 Sebastian O Hubbuch Internal Medicine 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6877 2005-06-28
1063956795 Rebekah Begly Nurse Practitioner 2300 Manchester Expy, Butler Pavilion, Suite 1007, Columbus, GA 31904-6802 2016-12-14
1528517802 Tracy B Stokes Nurse Practitioner 2300 Manchester Expy, Ste C001, Columbus, GA 31904-6802 2016-09-27
1073066254 Chelsea Lawrence Nurse Practitioner 2300 Manchester Expy, Suite 2001, Butler Pavilion, Columbus, GA 31904-6802 2016-07-25
1609229863 Dixie Peterson Nurse Practitioner 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 2016-07-22
1720430440 Alexander Chavez Nurse Practitioner 2300 Manchester Expy, Ste 1009, Columbus, GA 31904-6802 2016-07-06
1437506318 Michael Lemke Nurse Practitioner 2300 Manchester Expy, Building A, Suite 6, Columbus, GA 31904-6802 2016-05-19
1568822286 Summer Carol Still Nurse Practitioner 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 2016-02-24
1861857294 St. Francis Physician Practices LLC Physical Medicine & Rehabilitation 2300 Manchester Expy, Ste A005, Columbus, GA 31904-6802 2015-12-30
1982079323 St Francis Physician Practices LLC Internal Medicine 2300 Manchester Expy, Ste. 1009, Columbus, GA 31904-6877 2015-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821641457 At Home Palliative Care, LLC Nursing Care 114 Enterprise Ct, Suite B, Columbus, GA 31904 2019-07-23
1285191049 Shandra Ladell Grimes Nurse Practitioner 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 2019-02-27
1881161529 Lesley Kathleen Simmons Massage Therapist 5402 15th Ave, Columbus, GA 31904 2018-10-31
1184190662 Alphonsa Joseph Nurse Practitioner 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 2018-10-22
1568942704 William Pearce Massey Social Worker 8851-1 Moore Road, Columbus, GA 31904 2018-08-17
1033696372 Marlise V. Gray Counselor 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 2018-07-19
1710418173 Amanda Barnette Pruett Behavioral Analyst 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 2017-03-27
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1609323369 Shomika Lasha Battle Registered Nurse 2101 North Avenue, Columbus, GA 31904 2016-09-09
1952759219 Peaceful River Home Care Agency In Home Supportive Care 738 Rudgate Road, Columbus, GA 31904 2016-05-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1891394235 Lisa Ann Popovich Nurse Practitioner 3703 Canon Ridge Pl, Columbus, OH 43230-4010 2020-10-17
1548812159 Holly Penix Nurse Practitioner 223 Bluewing Ct, Columbus, OH 43235-1490 2019-07-13
1558840496 Sheila Parker Strickland Nurse Practitioner 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 2018-08-11
1669992822 Susan Lee Mcfall Nurse Practitioner 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 2017-06-20
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1285095802 Laura Aumiller Nurse Practitioner 842 Grandview Ave, Columbus, OH 43215-1124 2016-03-09
1457741498 Roshann Palmer Nurse Practitioner 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 2015-01-29
1548650617 Katherine Marie Wallace Nurse Practitioner 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 2015-01-28
1144637299 Jody Anne Howell Nurse Practitioner 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 2014-07-21
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Competitor

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City COLUMBUS
Zip Code 31904

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Dataset Information

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.

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