JOHN V GLISSON MD
NPI 1053391979
Pediatrics in Gainesville, GA

Q: What is John Glisson's NPI number?

The NPI number for John Glisson is 1053391979. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is John Glisson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for John Glisson was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 18, 2006

725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John V Glisson Md NPPES

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

JOHN V GLISSON MD (NPI 1053391979) is an individual pediatrics provider in Gainesville, Georgia, licensed in Georgia (028406) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1053391979

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOHN V GLISSONCredential: MD

Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445

Phone(770) 535-3611

Fax(770) 535-7092

Sole ProprietorNo

Enumeration DateJanuary 18, 2006

Last NPPES UpdateAugust 17, 2011

✔ NPI 1053391979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 028406

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

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Other Identifiers 18

Medicare UPINB92302GA

Other52024741GA · Bcbs

Other4104400GA · Aetna Ppo

Other10032977GA · Amerigroup

Other1910980GA · Cigna

Medicaid000324266FGA

Medicaid000324266EGA

Medicaid000324266CGA

Medicare PIN202I376832GA

Other531448GA · Wellcare

Other1207078GA · United Healthcare

Other303933GA · Wellcare

Medicaid000324266DGA

Other303911GA · Wellcare

Medicaid000324266GGA

Other303930GA · Wellcare

Other958571GA · Aetna Hmo

Other303925GA · Wellcare

Other Providers at the Same Location NPPES 20

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

THE LONGSTREET CLINIC, PC

Clinical Medical Laboratory

725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501

Hall County (770) 535-0079

EILEEN JAVELLANA MD

Internal Medicine