DR. JOHN A GLENN JR. MD
NPI 1194765420
Family Medicine in Eastman, GA

Active since June 07, 2006
840 PROFESSIONAL CENTER DR, EASTMAN, GA 31023(478) 374-1310(478) 374-0302 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John A Glenn Jr. Md NPPES

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

DR. JOHN A GLENN JR. MD (NPI 1194765420) is an individual family medicine provider in Eastman, Georgia, licensed in Georgia (038495) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1194765420
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN A GLENN JR.Credential: MD
Location Address840 PROFESSIONAL CENTER DREastman, GA 31023-6734
Mailing Address840 Professional Center DrEastman, GA 31023-6734 · (478) 374-1310 · Fax (478) 374-0302
Fax(478) 374-0302
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 7, 2011
NPI 1194765420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 038495
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

840 PROFESSIONAL CENTER DR, Eastman, GA 31023

Other Identifiers 4

Medicare ID-Type Unspecified08BBXDNGA
Medicare UPINE45014GA
Medicaid000613874JGA
Medicare ID-Type Unspecified11-3941GA · Rural Medicare Number

Other Providers at the Same Location NPPES 3

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

Family Medicine
840 PROFESSIONAL CENTER DR
EASTMAN, GA 31023
Nurse Practitioner (Family)
840 PROFESSIONAL CENTER DR
EASTMAN, GA 31023
Nurse Practitioner (Family)
840 PROFESSIONAL CENTER DR
EASTMAN, GA 31023

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 John Glenn's NPI number?

The NPI number for John Glenn is 1194765420. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is John Glenn located?

John Glenn practices at 840 Professional Center Dr, Eastman, GA 31023. The listed phone number is (478) 374-1310.

What is John Glenn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Glenn was last updated on September 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.