MR. CARL GLENN OLIVER PA
NPI 1013903426
Physician Assistant - Medical in Montezuma, GA

Active since September 21, 2005
502 SUMTER ST, MONTEZUMA, GA 31063(478) 472-8178(478) 472-3289 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carl Glenn Oliver Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARL GLENN OLIVER PA (NPI 1013903426) is an individual medical provider in Montezuma, Georgia, licensed in Georgia (04064) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1013903426
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CARL GLENN OLIVERCredential: PA
Location Address502 SUMTER STMontezuma, GA 31063-1734
Mailing Address502 Sumter StMontezuma, GA 31063-1734 · (478) 472-8178 · Fax (478) 472-3289
Fax(478) 472-3289
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateAugust 17, 2016
NPI 1013903426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 04064
502 SUMTER ST, Montezuma, GA 31063

Other Identifiers 4

Medicare PIN97WCFFMGA
Medicare UPINP87969
Other364910GA · Wellcare
Medicaid455252909AGA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
502 SUMTER ST
MONTEZUMA, GA 31063
Clinic/Center (Urgent Care)
502 SUMTER ST, SUITE B
MONTEZUMA, GA 31063
Clinic/Center (Rural Health)
502 SUMTER ST
MONTEZUMA, GA 31063
Family Medicine
502 SUMTER ST
MONTEZUMA, GA 31063
Family Medicine
502 SUMTER ST
MONTEZUMA, GA 31063
Clinic/Center (Rural Health)
502 SUMTER ST
MONTEZUMA, GA 31063
Nurse Practitioner (Family)
502 SUMTER ST
MONTEZUMA, GA 31063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Oliver's NPI number?

The NPI number for Carl Oliver is 1013903426. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Carl Oliver located?

Carl Oliver practices at 502 Sumter St, Montezuma, GA 31063. The listed phone number is (478) 472-8178.

What is Carl Oliver's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Carl Oliver was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.