MR. KEVIN A GLENN MMSC, PA
NPI 1952749947
Physician Assistant in Stockbridge, GA

Q: What is Kevin Glenn's NPI number?

The NPI number for Kevin Glenn is 1952749947. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Kevin Glenn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Glenn was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since June 12, 2013PECOS Enrolled

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(404) 367-3014 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2017, Jan 11, 2017 (2 updates tracked since 2017).

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About Mr. Kevin A Glenn Mmsc, Pa NPPES

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

MR. KEVIN A GLENN MMSC, PA (NPI 1952749947) is an individual physician assistant in Stockbridge, Georgia and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952749947

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. KEVIN A GLENNCredential: MMSC, PA

Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085

Mailing Address1133 Eagles Landing PkwyStockbridge, GA 30281-5085 · (404) 367-3014

Phone(404) 367-3014

Sole ProprietorNo

Enumeration DateJune 12, 2013

Last NPPES UpdateApril 11, 20172 updates tracked since enumeration

✔ NPI 1952749947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

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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)

Mr. Kevin A Glenn Mmsc, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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 20

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

DR. BRIGITTE VANLE MD

Emergency Medicine