JONATHAN LEE GLEASON MD NPI 1780749820

NPI Information

  • NPI: 1780749820
  • Provider Name: JONATHAN LEE GLEASON, MD
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 HALTON VILLAGE CIR
    GREENVILLE, SC
    ZIP 29607
  • Phone: (864) 455-1600

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NPI Details

Jonathan Lee Gleason, MD is an urogynecology and reconstructive pelvic surgery in Greenville, SC with 21 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Jonathan Lee Gleason, MD NPI is 1780749820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

101 HALTON VILLAGE CIR
GREENVILLE, SC
ZIP 29607-825
Phone: (864) 455-1600
Fax: (864) 286-5298

The NPI 1780749820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 5/11/2023.

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
1207V00000XObstetrics & GynecologyMT186681PENNSYLVANIANo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery0101251665VIRGINIANo
3207VG0400XObstetrics & GynecologyGynecology29368ALABAMANo
4207VG0400XObstetrics & GynecologyGynecology0101251665VIRGINIANo
5207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery88740SOUTH CAROLINAYes

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
151599090OTHERALABAMABLUE CROSS
202536526MEDICAIDMISSISSIPPI
3113533MEDICAIDALABAMA
4557400MEDICAIDSOUTH CAROLINA
551599089OTHERALABAMABLUE CROSS
6113528MEDICAIDALABAMA
7113530MEDICAIDALABAMA
851599092OTHERALABAMABLUE CROSS

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: 11/21/2025

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