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DR. GLEN JOSEPH IANNUCCI M.D.
NPI 1972787760
Pediatrics - Pediatric Cardiology in Alpharetta, GA

Active since December 28, 2007PECOS Enrolled
3300 OLD MILTON PKWY STE 100, ALPHARETTA, GA 30005(404) 256-2593(770) 488-9408 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2026, Jan 22, 2021 (2 updates tracked since 2021).

About Dr. Glen Joseph Iannucci M.d. NPPES

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

DR. GLEN JOSEPH IANNUCCI M.D. (NPI 1972787760) is an individual pediatric cardiology provider in Alpharetta, Georgia, licensed in Georgia (064569) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972787760
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. GLEN JOSEPH IANNUCCICredential: M.D.
Location Address3300 OLD MILTON PKWY STE 100Alpharetta, GA 30005-2425
Mailing Address2970 Brandywine Rd Ste 125Atlanta, GA 30341-5521 · (404) 256-2593 · Fax (770) 488-9408
Phone(404) 256-2593
Fax(770) 488-9408
Sole ProprietorNo
Enumeration DateDecember 28, 2007
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1972787760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 064569
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 002845 (GA)
3300 OLD MILTON PKWY STE 100, Alpharetta, GA 30005
Open in Google Maps ↗

Other Identifiers 2

Other002845GA · Restraining Permit #
Medicaid003100495CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glen Joseph Iannucci M.d. 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.

Frequently Asked Questions

What is Glen Iannucci's NPI number?

The NPI number assigned to this healthcare provider is 1972787760, enumerated as an "individual" on December 28, 2007.

Where is the provider located?

The provider is located at 3300 OLD MILTON PKWY STE 100 ALPHARETTA, GA 30005 and the phone number is (404) 256-2593.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

What insurance does Glen Iannucci accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.