GLENN E. FUSSELL (NPI# 1770766909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770766909 |
| Entity Type | Organization |
| Organization Name | GLENN E. FUSSELL |
| Practice Address |
2827 Warm Springs Rd Suite 3b Columbus GA 31904-5246 |
| Practice Telephone | 7063244177 |
| Practice Fax Number | 7063229637 |
| Mailing Telephone | 7063244177 |
| Mailing Fax Number | 7063229637 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | GLENN E. FUSSELL (OWNER) |
| Authorized Official Telephone | 7063244177 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
026777 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 08BDPHD | 01 | |
| MEDICARE, PTAN | GRP4568 | 01 | |
| GA | RAILROAD MEDICARE GRP NUM | DG5108 | 01 |
| GA | 00330063C | 05 |
| Street Address |
2827 WARM SPRINGS RD SUITE 3B |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861509184 | Glenn Edward Fussell | Family Medicine | 2827 Warm Springs Rd, Suite 3-b, Columbus, GA 31904-5246 | 2006-08-23 |
| 1639619737 | Columbus Family Medicine, LLC | Family Medicine | 2827 Warm Springs Rd, 3b, Columbus, GA 31904-5246 | 2017-03-08 |
| 1588104160 | Kela S Bryant | Nurse Practitioner | 2827 Warm Springs Rd, Ste 3b, Columbus, GA 31904-5246 | 2017-03-02 |
| 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 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1295846673 | James Glenn Fitkin | Family Medicine | 4794 Dierker Rd, Columbus, OH 43220-2968 | 2006-08-31 |
| 1699706879 | American Health Network of Ohio, LLC | Family Medicine | 2500 Corporate Exchange Drive Suite 100, Columbus, OH 43231-7665 | 2006-07-05 |
| 1255369484 | Mark Alan Buddie | Family Medicine | 2500 Corporate Exchange Dr, Suite 100, Columbus, OH 43231-7665 | 2006-06-28 |
| 1366481822 | Vincent K Chu | Family Medicine | 2500 Corporate Exchange Dr Ste 100, Columbus, OH 43231-7601 | 2006-06-06 |
| 1942440276 | Amit R Bhojraj | Family Medicine | 3555 Olentangy River Rd Ste 1080, Columbus, OH 43214-3984 | 2009-02-26 |
| 1659540136 | Gerald Lane D.o. | Family Medicine | 1275 Olentangy River Rd, Suite 202, Columbus, OH 43212-3119 | 2008-02-28 |
| 1588711410 | Ralph Newman | Family Medicine | 1000 E Broad St, Columbus, OH 43205-1381 | 2007-01-04 |
| 1548215163 | Jibike Joy Adegbile | Family Medicine | 7196 N Lake Dr, Suite B, Columbus, GA 31909-1693 | 2006-05-23 |
| Find all providers in COLUMBUS | ||||
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| 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.