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JAMES E. GLEASON JR MDPC NPI 1013198050


NPI Information

NPI: 1013198050
Provider Name: JAMES E. GLEASON JR, MDPC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
33 UPPER RIVERDALE RD SW STE 118
RIVERDALE, GA
ZIP 30274
Phone: (770) 994-6969
Get Directions

JAMES E. GLEASON JR, MDPC is a family medicine in Riverdale, GA. The provider is 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. JAMES E. GLEASON JR, MDPC NPI is 1013198050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 UPPER RIVERDALE RD SW STE 118
RIVERDALE, GA
ZIP 30274-642
Phone: (770) 994-6969
Fax: (888) 651-5324

The provider's authorized official is James E Gleason .
The authorized official title is Md and has the following contact phone number (770) 994-6969.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 1/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine030466GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000573922DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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