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GLENNA KILGORE PMHNP, RN
NPI 1750103552
Nurse Practitioner - Psychiatric/Mental Health in Brookhaven, GA

Active since October 31, 2024PECOS Enrolled
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329(678) 984-6378 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenna Kilgore Pmhnp, Rn NPPES

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

GLENNA KILGORE PMHNP, RN (NPI 1750103552) is an individual psychiatric/mental health provider in Brookhaven, Georgia, licensed in Georgia (RN264407) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750103552
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGLENNA KILGORECredential: PMHNP, RN
Location Address1777 NORTHEAST EXPY NEBrookhaven, GA 30329-2480
Mailing Address1777 Northeast Expy NeBrookhaven, GA 30329-2480
Phone(678) 984-6378
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 31, 2024
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1750103552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN264407
1777 NORTHEAST EXPY NE, Brookhaven, GA 30329
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenna Kilgore Pmhnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729578448
PECOS Enrollment IDI20251204001233
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 20

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

ELIZABETH TOWLES
Genetic Counselor, MS
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-1003
DENISE MUNKOMBWE MAKALA MD
Pediatrics
1777 NORTHEAST EXPY NE, ZALIK BEHAVIORAL AND MENTAL HEALTH CENTER
BROOKHAVEN, GA 30329
Dekalb County (404) 785-7878
DR. SAMUEL JERMAINE MADDOX PH.D.
Psychologist (Clinical)
1777 NORTHEAST EXPY NE, SUITE 175
ATLANTA, GA 30329
Dekalb County (678) 523-0969
DR. MICHALE SFERRA PHD
Psychologist
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-7878
SAMEIA MOHAMMED UDOJI NP
Nurse Practitioner (Psychiatric/Mental Health)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-8200
DR. CHRIS DANIELL PHD
Psychologist (Clinical)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (513) 476-9949
KELLY PETERSON LCSW
Counselor (Mental Health)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-8200
MS. MARY BETH STARK M.S.CCC-SLP
Speech-Language Pathologist
1777 NORTHEAST EXPY NE, SUITE 175
ATLANTA, GA 30329
Dekalb County (404) 386-1324

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 Glenna Kilgore's NPI number?

The NPI number for Glenna Kilgore is 1750103552. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Glenna Kilgore located?

Glenna Kilgore practices at 1777 Northeast Expy NE, Brookhaven, GA 30329. The listed phone number is (678) 984-6378.

What is Glenna Kilgore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Glenna Kilgore enrolled in Medicare?

Yes. Glenna Kilgore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenna Kilgore was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.