Ivan Glotov, PA
NPI 1255126124 · Physician Assistant · Stockbridge, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Glotov, PA is a Physician Assistant provider in Stockbridge, GA (NPI 1255126124).
Provider details
- NPI number
- 1255126124
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Ivan Glotov's NPI number?
- Ivan Glotov's National Provider Identifier (NPI) is 1255126124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Glotov's specialty?
- Ivan Glotov is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivan Glotov located?
- Ivan Glotov's practice location on file with NPPES is 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173.
- What is Ivan Glotov's phone number?
- The practice phone number listed in the NPPES registry for Ivan Glotov is (770) 506-4350.
- Does Ivan Glotov accept Medicare?
- Ivan Glotov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Glotov's NPI active?
- Yes — Ivan Glotov's NPI (1255126124) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.