Glenda J Summerville (NPI# 1902856354, PAC ID# 5991716482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902856354 |
| PAC ID by PECOS | 5991716482 |
| Professional Enrollment ID | I20060516000014 |
| Full Name | Glenda J Summerville |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
176 Charles Hardy Pkwy C Hiram GA 30141-1836 |
| Phone Number | 6789458200 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 144 Bill Carruth Pkwy, Suite 4200, Hiram, GA 30141-3819 | 6783244444 | WELLSTAR MEDICAL GROUP, LLC |
| 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 | WELLSTAR MEDICAL GROUP, LLC | |
| 148 Bill Carruth Pkwy, Hiram, GA 30141-3756 | WELLSTAR MEDICAL GROUP, LLC | |
| 148 Bill Carruth Pkwy, Suite Ll30, Hiram, GA 30141-3768 | 7705053855 | WELLSTAR MEDICAL GROUP, LLC |
| 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 | 6789458200 | WELLSTAR MEDICAL GROUP, LLC |
| 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 7707324022 | WELLSTAR MEDICAL GROUP, LLC |
| 51 Hiram Dr B, Hiram, GA 30141-1844 | WELLSTAR MEDICAL GROUP, LLC | |
| 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 | 6783540230 | WELLSTAR MEDICAL GROUP, LLC |
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
176 CHARLES HARDY PKWY C |
| City | HIRAM |
| State | GA |
| Zip | 30141-1836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aubree L Tant | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Christina Adams | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Carl Goolsby | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Laura C Huenink | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Jeffrey Lanier Tharp | Internal Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Ramona Payton | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Roderick H Rhyant | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Susan E Ashworth | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| David A Gose | Internal Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Erin Landry | Physician Assistant | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Lavengood Boucher | Chiropractic | 5447 Powder Springs Dallas Swrd, Hiram, GA 30141 | |
| Tangela C Atkinson | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Afua Beatrice Akhi-gbade | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Sylvia S Cunningham | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Lyndy Chere Croft | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| William D Green | Obstetrics/gynecology | Wellstar Medical Group, LLC | 51 Hiram Dr B, Hiram, GA 30141-1844 |
| Terri L Twyford | Certified Nurse Midwife | Wellstar Medical Group, LLC | 51 Hiram Dr B, Hiram, GA 30141-1844 |
| Erin E Ellison | Nurse Practitioner | Wellstar Medical Group, LLC | 51 Hiram Dr B, Hiram, GA 30141-1844 |
| Michael I Chaliff | Diagnostic Radiology | Hiram Imaging, LLC | 4374 Atlanta Hwy 125, Hiram, GA 30141-1849 |
| Thomas R Fuller | Diagnostic Radiology | Hiram Imaging, LLC | 4374 Atlanta Hwy 125, Hiram, GA 30141-1849 |
| Find all physicians in zip 30141 | |||
| City | HIRAM |
| Zip Code | 30141 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HIRAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Glenda J Summerville.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.