JOHN A. GLENN JR. CENTER FOR COMMUNITY HEALTHCARE INC.
NPI 1275736100
Family Medicine in Eastman, GA

Active since June 07, 2007
1112 PLAZA AVE, SUITE C, EASTMAN, GA 31023(478) 374-1308(478) 374-0302 Get Directions Write a Review

NPPES record last updated: December 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A. Glenn Jr. Center For Community Healthcare Inc. NPPES

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

JOHN A. GLENN JR. CENTER FOR COMMUNITY HEALTHCARE INC. (NPI 1275736100) is a healthcare organization registered as a family medicine in Eastman, Georgia and active in the NPI registry since June 2007. The organization lists John A Glenn, Owner, as its authorized official.

NPPES Registry Identity

NPI1275736100
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN A. GLENN JR. CENTER FOR COMMUNITY HEALTHCARE INC.
Location Address1112 PLAZA AVE, SUITE CEastman, GA 31023-9009
Mailing Address1112 Plaza Ave, Suite CEastman, GA 31023-9009 · (478) 374-1308 · Fax (478) 374-0302
Fax(478) 374-0302
Organization SubpartNo
Authorized OfficialJohn A GlennOwner · (478) 374-1308
Enumeration DateJune 7, 2007
Last NPPES UpdateDecember 5, 2008
NPI 1275736100 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 · 03995
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.
1112 PLAZA AVE, Eastman, GA 31023

Other Identifiers 3

Medicaid000613874AGA
Medicare UPINE45014GA
Medicare ID-Type Unspecified08BBXDNGA · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
1112 PLAZA AVE
EASTMAN, GA 31023
Speech-Language Pathologist
1112 PLAZA AVE, SUITE A
EASTMAN, GA 31023
Obstetrics & Gynecology (Obstetrics)
1112 PLAZA AVE, SUITE B
EASTMAN, GA 31023
Obstetrics & Gynecology
1112 PLAZA AVE, STE B
EASTMAN, GA 31023
Family Medicine
1112 PLAZA AVE, SUITE C
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 A. Glenn Jr. Center For Community Healthcare Inc.'s NPI number?

The NPI number for John A. Glenn Jr. Center For Community Healthcare Inc. is 1275736100. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is John A. Glenn Jr. Center For Community Healthcare Inc. located?

John A. Glenn Jr. Center For Community Healthcare Inc. is located at 1112 Plaza Ave Suite C, Eastman, GA 31023. The listed phone number is (478) 374-1308.

What is John A. Glenn Jr. Center For Community Healthcare Inc.'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 A. Glenn Jr. Center For Community Healthcare Inc. was last updated on December 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.