Glenda V. Pettaway, M.D.
Pediatrics Physician · Swainsboro, GA
Glenda V. Pettaway, M.D. is a pediatrics physician with a practice address in Swainsboro, Georgia, and NPI 1841422359, issued on Aug 17, 2009. Check the license (Georgia 062456, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Glenda V. Pettaway
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 062456 GA
Self-reported in NPPES; status is on the state search - Practice location
- 215 N Coleman St, Swainsboro, GA 30401
- Phone
- (478) 237-2638
- Enumerated
- Aug 17, 2009
- Record last updated
- Feb 22, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (478) 237-9138
- Medicaid IDs
- 000632376I GA
269902777A GA - Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,258 in Georgia → Look up another NPI →
Also registered at 215 N Coleman St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Billy Beasley, PHARMDPharmacist1578007142
- Kyle CannadyFamily Nurse Practitioner1457733826
- Jamye Clark, FNP-CFamily Nurse Practitioner1073291613
- Paul Dorsett, MMS, PA-CPhysician Assistant1265039341
- Esmeralda EspitiaFamily Nurse Practitioner1730987108
- Haley Fitzpatrick, FNP-CFamily Nurse Practitioner1174468433
Verify Glenda V. Pettaway in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 062456Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $297.18
30 payments; by number, the most common kind was food and beverage; the largest payer was Corium, LLC. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Glenda V. Pettaway among 2,258 pediatrics physician records in Georgia
Glenda V. Pettaway, M.D. is one of 2,258 pediatrics physician records with a practice address in Georgia. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 62% of them.
- NPI issued2009 · 62% of these records are older, 36% newer
- In a Medicare fileYes · 47% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2012 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 pediatrics physician records list a practice address in Swainsboro
They are 2 of the 167 NPPES records with a practice address in Swainsboro, and 2,258 pediatrics physician records in Georgia.
All 2,258 in Georgia → Every provider in Swainsboro → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Claudio Machado, MDSwainsboro, GA 304011144395369
- Suraj Sukumaran, MDLouisville, GA 304341861408007
- Nazneen Desai, M.D.Dunwoody, GA 303501770551822
- Deborah Sumner, MDSandy Springs, GA 303501134225303
- Gertrude Arrington, MDCollege Park, GA 303491487697124
- Helena Bentley, M.D.College Park, GA 303491881632644
- Jessica Livsey, MDAtlanta, GA 303491245727130
- Jonathan LouisCollege Park, GA 303491801751383
Common questions
What is Glenda V. Pettaway, M.D.'s NPI number?
Glenda V. Pettaway, M.D.'s National Provider Identifier (NPI) is 1841422359, issued on Aug 17, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Glenda V. Pettaway, M.D. located?
The NPPES record lists a practice address at 215 N Coleman St, Swainsboro, GA, 30401. Phone: (478) 237-2638. Providers update this record themselves, so call before visiting.
How can I verify Glenda V. Pettaway, M.D.'s license?
NPPES lists Georgia license number 062456, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.