COURTNEY GLENN DPM LLC
NPI 1306221106
Clinic/Center - Podiatric in Braselton, GA

Active since July 22, 2015
1515 RIVER PL STE 370, BRASELTON, GA 30517(770) 648-5040(706) 780-5366 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Jan 3, 2022 (2 updates tracked since 2022).

About Courtney Glenn Dpm Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY GLENN DPM LLC (NPI 1306221106) is a healthcare organization registered as a podiatric in Braselton, Georgia and active in the NPI registry since July 2015. The organization maintains a secondary practice location in Athens and lists Courtney Glenn, Owner, as its authorized official.

NPPES Registry Identity

NPI1306221106
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameCOURTNEY GLENN DPM LLC
Location Address1515 RIVER PL STE 370Braselton, GA 30517-5605
Mailing Address1515 River Pl Ste 370Braselton, GA 30517-5605 · (770) 648-5040 · Fax (706) 780-5366
Fax(706) 780-5366
Organization SubpartNo
Authorized OfficialCourtney GlennOwner · (814) 758-8425
Enumeration DateJuly 22, 2015
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1306221106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in GA · POD001277
1515 RIVER PL STE 370, Braselton, GA 30517

Secondary Practice Location 1

Location 11500 Oglethorpe Ave Ste 500BAthens, GA 30606-2184 · Phone (770) 648-5040 · Fax (706) 780-5366

Other Identifiers 1

Other1831454750Personal Npi Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Glenn Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Courtney Glenn DPM LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1144668666
1515 RIVER PL STE 370
Braselton, GA 30517
(770) 648-5040
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1831454750
1515 RIVER PL STE 370
Braselton, GA 30517
(770) 648-5040
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Glenn Dpm LLC's NPI number?

The NPI number for Courtney Glenn Dpm LLC is 1306221106. It was assigned to this organization in the NPPES registry on July 22, 2015.

Where is Courtney Glenn Dpm LLC located?

Courtney Glenn Dpm LLC is located at 1515 River Pl Ste 370, Braselton, GA 30517. The listed phone number is (770) 648-5040.

What is Courtney Glenn Dpm LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Courtney Glenn Dpm LLC enrolled in Medicare?

Yes. Courtney Glenn Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Courtney Glenn Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Courtney Glenn Dpm LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Courtney Glenn Dpm LLC accept?

Health plans from Alliant Health Plans, Inc. list Courtney Glenn Dpm LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Glenn Dpm LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.