P Praxis·MD
● Active Type 1 · Individual

John V Glisson, MD

Pediatrics·Gainesville, GA· NPI 1053391979 · Enumerated 2006 · 20 years on NPI
Glisson is 1 of 44 pediatrics providers in Gainesville and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-01-18
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
📞 7705353611fax 7705357092
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705357445

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #028406 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 000324266D
01 (GA) 303930 WELLCARE
05 (GA) 000324266C
05 (GA) 000324266E
01 (GA) 1207078 UNITED HEALTHCARE
05 (GA) 000324266F
05 (GA) 000324266G
01 (GA) 303911 WELLCARE
01 (GA) 303925 WELLCARE
01 (GA) 1910980 CIGNA
01 (GA) 303933 WELLCARE
01 (GA) 4104400 AETNA PPO
01 (GA) 52024741 BCBS
01 (GA) 10032977 AMERIGROUP
01 (GA) 531448 WELLCARE
01 (GA) 958571 AETNA HMO

Practice context

Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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