NPI age
4 years
Enumerated 2021-07-01
● Active
Type 1 · Individual
Taylor Glaze, PNP
Glaze is 1 of 1 nurse practitioner providers in Kathleen and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
4 years
↓ 6 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-07Enumerated in NPPES
2021
2026
Where they practice
Practice location
1114 Ga Highway 96 Ste D3-D5
Kathleen, GA 310472111
Mailing address
1114 Ga Highway 96 Ste D3-D5
Kathleen, GA 310472111
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1001 Johnson Fy Rd Ne
Atlanta, GA 303421605
Location 3
5300 Bowman Park
MacOn, GA 312106583
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.