WILLIAM D GLENN IV MD
NPI 1366766222
Family Medicine in Bamberg, SC
About William D Glenn Iv Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM D GLENN IV MD (NPI 1366766222) is a healthcare organization registered as a family medicine in Bamberg, South Carolina and active in the NPI registry since March 2010. The organization lists Lisa M Goodlett, C.o.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William D Glenn Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to William D Glenn IV MD, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 35Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Edisto Regional Health Services Inc.'s NPI number?
The NPI number for Edisto Regional Health Services Inc. is 1366766222. It was assigned to this organization in the NPPES registry on March 22, 2010. The provider is doing business as William D Glenn IV MD.
Where is Edisto Regional Health Services Inc. located?
Edisto Regional Health Services Inc. is located at 498 North St, Bamberg, SC 29003. The listed phone number is (803) 245-5144.
What is Edisto Regional Health Services Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edisto Regional Health Services Inc. enrolled in Medicare?
Yes. Edisto Regional Health Services Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edisto Regional Health Services Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 7 Medicare specialties reassign their Medicare billing to Edisto Regional Health Services Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Family Practice (11) and Internal Medicine (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Edisto Regional Health Services Inc. was last updated on January 30, 2012. 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.
# William D Glenn Iv Md · NPI 1366766222
Family Medicine organization in Bamberg, South Carolina. Organization record, active in the CMS NPPES registry since March 22, 2010.
## Identity
- **NPI:** 1366766222 (Entity type: Organization)
- **Enumerated:** March 22, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Edisto Regional Health Services Inc.
- **Organization subpart:** No
- **Authorized official:** Lisa Goodlett, C.O.O.
## Practice location
- **Address:** 498 NORTH ST, Bamberg, SC 29003-1377
- **Phone:** (803) 245-5144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (11), Internal Medicine (5); [full list](https://npiprofile.com/npi/1366766222/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2012
- **Other identifiers:** Medicare PIN 5677 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1366766222) · Data from the CMS NPPES public registry.