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

Individual provider Obstetrics & Gynecology Physician · NPI 1578743159

Glen Powell Jr., MD is an Obstetrics/Gynecology in Charlotte, North Carolina. Graduated from University of Louisville School of Medicine in 2004, 22 years ago. Practices with Caromont Medical Group Inc, a 417-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Trained at
University of Louisville School of Medicine
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 E W T Harris Blvd Ste 2320
Charlotte, NC 28262-3485
Phone: (704) 547-0858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16455 Statesville Rd, Huntersville, NC 28078-7135 — (704) 801-2130

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2008-00406 (NC)

Record details

NPI number1578743159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 12, 2007
Last updated in NPPESMarch 2, 2020

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Caromont Medical Group Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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