IVAN GLOTOV PA
NPI 1255126124
Physician Assistant in Stockbridge, GA
About Ivan Glotov Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN GLOTOV PA (NPI 1255126124) is an individual physician assistant in Stockbridge, Georgia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivan Glotov Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255126124, enumerated as an "individual" on April 11, 2025.
The provider is located at 1240 EAGLES LANDING PKWY STE 300 STOCKBRIDGE, GA 30281 and the phone number is (770) 506-4350.
Physician Assistant with taxonomy code 363A00000X.
