Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gladys Mutura

Individual provider Family Nurse Practitioner · NPI 1528685039

Gladys Mutura is a Nurse Practitioner in Dallas, Georgia. Qualified in 2019, 7 years ago. Practices with Primary Care PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

495 Charles Hardy Pkwy
Dallas, GA 30157-5723
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN255569 (GA)

Record details

NPI number1528685039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2020
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 4, 2024
Mailing address495 Charles Hardy Pkwy, Dallas, GA 30157-5723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Primary Care Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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