Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Glotov, PA

Individual provider Physician Assistant · NPI 1255126124

Ivan Glotov, PA is a Physician Assistant in Stockbridge, Georgia. Graduated from Mercer University School of Medicine in 2025, 1 year ago. Practices with Piedmont Orthopedics, LLC, a 192-clinician group and accepts Medicare assignment.

Years since qualifying
1
Trained at
Mercer University School of Medicine
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1240 Eagles Landing Pkwy Ste 300
Stockbridge, GA 30281-5173
Phone: (770) 506-4350
Fax: (770) 506-9860
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255126124
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address3100 Interstate North Cir Se Ste 500, Atlanta, GA 30339-2296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Piedmont Orthopedics, Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stockbridge