Skip to content

Kimberley Glenn, PA

NPI 1659601649ActiveIndividual· Physician Assistant· Woodstock, GA

Physician Assistant (PA) with Northside Primary Care Professional Services,llc, practicing in Woodstock, Georgia. Their prescriptions cost Medicare Part D more than their services did: $99,379 for 734 claims, against $9,961 paid for services in 2024. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2025, $313.99 in all, mostly food and beverage.

Overview

NPI1659601649
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorYes
NPI issuedJan 13, 2010
Last updated in NPPESJan 10, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X007388GA
Physician Assistant363A00000X013821NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients68
Services billed172 across 16 procedure codes
Paid by Medicare$9,961

Part D prescriptions in 2024

Prescriptions (claims)734 · 1,746 30-day fills
Patients73
Total drug cost$99,379
Generic share82% of claims

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$313.99 · 15 payments from 5 companies
  • 2024$260.76 · 14 payments from 8 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$268.99 · 14 payments
  • Education$45.00 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Woodstock

All Physician Assistant providers in Georgia →