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

Mary Glenn Waldrop

Individual provider Emergency Medicine Physician · NPI 1386387520

Mary Glenn Waldrop is an Emergency Medicine in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Alteon Health Alabama, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2022
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (205) 789-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD.52169 (AL)

Record details

NPI number1386387520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address3254 Dell Rd, Mountain Brk, AL 35223-1318

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alteon Health Alabama, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson