KIMBERLEY GLENN PA
NPI 1659601649
Physician Assistant in Woodstock, GA

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
960 WOODSTOCK PKWY, SUITE 300, WOODSTOCK, GA 30188(770) 517-2145(770) 517-2147 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberley Glenn Pa NPPES

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

KIMBERLEY GLENN PA (NPI 1659601649) is an individual physician assistant in Woodstock, Georgia, licensed in Georgia (007388) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1659601649
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLEY GLENNCredential: PA
Location Address960 WOODSTOCK PKWY, SUITE 300Woodstock, GA 30188-4866
Mailing Address960 Woodstock Pkwy, Suite 300Woodstock, GA 30188-4866 · (770) 517-2145 · Fax (770) 517-2147
Fax(770) 517-2147
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJanuary 10, 2017
NPI 1659601649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 007388 Licensed in NY · 013821
Definition

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.

960 WOODSTOCK PKWY, Woodstock, GA 30188

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberley Glenn Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769786854
PECOS Enrollment IDI20160210001609
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
960 WOODSTOCK PKWY, STE 300
WOODSTOCK, GA 30188
Registered Nurse
960 WOODSTOCK PKWY
WOODSTOCK, GA 30188
Clinic/Center (Ambulatory Surgical)
960 WOODSTOCK PKWY, SUITE 101
WOODSTOCK, GA 30188

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 Kimberley Glenn's NPI number?

The NPI number for Kimberley Glenn is 1659601649. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Kimberley Glenn located?

Kimberley Glenn practices at 960 Woodstock Pkwy Suite 300, Woodstock, GA 30188. The listed phone number is (770) 517-2145.

What is Kimberley Glenn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberley Glenn enrolled in Medicare?

Yes. Kimberley Glenn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberley Glenn was last updated on January 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.