NPPES file of Aug 9, 2026

Ivan Glotov, PA

Physician Assistant · Stockbridge, GA

Ivan Glotov, PA is a physician assistant with a practice address in Stockbridge, Georgia, and NPI 1255126124, issued on Apr 11, 2025. Check the license with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255126124
Name
Ivan Glotov
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone
(770) 506-4350
Enumerated
Apr 11, 2025
Record last updated
Apr 11, 2025
Fax
(770) 506-9860
Medicare enrollment
Enrolled (PECOS I20250728002573); accepts Medicare assignment
Medical or professional school
Mercer University School Of Medicine, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1240 Eagles Landing Pkwy Ste 300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brian Crellin, DOOrthopaedic Surgery Physician1255497533
  2. James Edwards, PA-CPhysician Assistant1013279553
  3. Sheree EdwardsPhysical Therapist1831783828
  4. Roger Gregory, PA-CPhysician Assistant1376075176
  5. Cynthia Hunt, PA-CPhysician Assistant1881687937
  6. Abdihakim MohamoudPhysical Medicine & Rehabilitation Physician1306474531

Verify Ivan Glotov in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Piedmont Orthopedics, LLCStockbridge, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

55 physician assistant records list a practice address in Stockbridge

They are 55 of the 1,608 NPPES records with a practice address in Stockbridge, and 4,662 physician assistant records in Georgia.

Other physician assistant records in Georgia

  1. Kirsten Aanensen, PA-CAtlanta, GA1669367702
  2. Elizabeth Aaron, PA-CMarietta, GA1174187967
  3. C Aasgaard, PADecatur, GA1447234869
  4. Lindsay Abernethy, PA-CSavannah, GA1407098189
  5. Aimee Abide, PA-CAtlanta, GA1902988157
  6. Abimbola Abiodun, P.A.Atlanta, GA1487749867
  7. Arlisia Ables-JonesAtlanta, GA1487385548
  8. Serena Abouzeidan, PA-CAtlanta, GA1710851340
  9. Julie Abrahamson, PA-CDoraville, GA1134395866
  10. Tala Abu-Shami, PA-CAtlanta, GA1235987983

Common questions

What is Ivan Glotov, PA's NPI number?

Ivan Glotov, PA's National Provider Identifier (NPI) is 1255126124, issued on Apr 11, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Ivan Glotov, PA located?

The NPPES record lists a practice address at 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA, 30281. Phone: (770) 506-4350. Providers update this record themselves, so call before visiting.

How can I verify Ivan Glotov, PA's license?

Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

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.