Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255126124 Individual Practitioner Male Practitioner

Ivan Glotov , PA

Physician Assistant • Stockbridge, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ivan Glotov, PA is a certified Physician Assistant practicing in Stockbridge, GA. With approximately 1 years of clinical experience since graduating from Mercer University School Of Medicine in 2025, Ivan Glotov delivers high-quality medical care to the local community at 1240 EAGLES LANDING PKWY STE 300.

Ivan Glotov is affiliated with Piedmont Orthopedics, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1240 Eagles Landing Pkwy Ste 300

Stockbridge, GA 302815173

Telephone 7705064350
Fax 7705069860
Associated Practice Facility / Clinic
🏢 Orthoatlanta, Llc Facility NPI 1841310778

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Stockbridge, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -8.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
55 Specialists

Practicing in Stockbridge, GA (4726 Statewide)

Telehealth Adoption Rate
12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glotov (1 Years) 1 Yrs
Stockbridge Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Piedmont Orthopedics, Llc

620 Cherokee St Ne, Marietta, GA 300607202

Phone: 7706351812

Piedmont Orthopedics, Llc

1133 Eagles Landing Pkwy, Stockbridge, GA 302815085

Phone: 7705064350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Briana Stith , PA-C

Physician Assistant

NPI 1003782129

Physician Assistant (Certified)

James Edwards , PA-C

Physician Assistant

NPI 1013279553

Physician Assistant (Certified)

Dr. Daniel Orcutt , MD

Orthopaedic Surgery

NPI 1053362822

Doctor of Medicine (M.D.)

Hayden Randolph , PA

Physician Assistant

NPI 1154013522

Physician Assistant

Dr. David O'neill , MD

Orthopaedic Surgery

NPI 1215433305

Doctor of Medicine (M.D.)

Kathryn Shelley , PA

Physician Assistant

NPI 1215937578

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2025

Registered at 1240 EAGLES LANDING PKWY STE 300, STOCKBRIDGE, GA 302815173 (Tel: 7705064350)

📍
Updated Business Mailing Address April 11, 2025

Registered at 3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 303392296 (Tel: 6789967230)

👤
Provider Name / Credentials Updated April 11, 2025

Recorded as IVAN GLOTOV, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255126124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2025
Last Update: April 11, 2025
Sole Proprietor: No

Mailing Address

3100 Interstate North Cir Se Ste 500

Atlanta, GA 303392296

Phone: 6789967230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.