MR. JUSTIN MATTHEW GLAZE MSN, APRN, FNP-C
NPI 1144955956
Nurse Practitioner - Family in Dalton, GA

Q: What is Justin Glaze's NPI number?

The NPI number for Justin Glaze is 1144955956. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Justin Glaze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Glaze was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment

1107 MEMORIAL DR STE G2, DALTON, GA 30720(706) 529-3245(706) 272-6077 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Jan 26, 2026, Dec 10, 2024 and 1 more (4 updates tracked since 2022).

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About Mr. Justin Matthew Glaze Msn, Aprn, Fnp-c NPPES

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

MR. JUSTIN MATTHEW GLAZE MSN, APRN, FNP-C (NPI 1144955956) is an individual family provider in Dalton, Georgia, licensed in Georgia (APRN-NP268132) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and maintains a secondary practice location in Dalton.

NPPES Registry Identity

NPI1144955956

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JUSTIN MATTHEW GLAZECredential: MSN, APRN, FNP-C

Location Address1107 MEMORIAL DR STE G2Dalton, GA 30720-8662

Mailing Address1107 Memorial Dr Ste G2Dalton, GA 30720-8662 · (706) 529-3245 · Fax (706) 272-6077

Phone(706) 529-3245

Fax(706) 272-6077

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 18, 2022

Last NPPES UpdateMay 7, 20264 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1144955956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP268132

1107 MEMORIAL DR STE G2, Dalton, GA 30720

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Secondary Practice Location 1

Location 11200 Memorial DrDalton, GA 30720-2529 · Phone (706) 272-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin Matthew Glaze Msn, Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941778914

PECOS Enrollment IDI20260507002830

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

ALEJANDRA STAUBS D.O.

Family Medicine