P Praxis·MD
● Active Type 2 · Organization

Courtney Glenn DPM Llc

Clinic/Center·Braselton, GA· NPI 1306221106 · Enumerated 2015 · 10 years on NPI
Courtney Glenn DPM Llc is 1 of 45 clinic/center organizations in Georgia.
NPI age
10 years
Enumerated 2015-07-22
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Glenn
Owner
Last NPPES update
2025-12-29
Source: monthly bulk 2026-05

How this organization compares

Across 45 active clinic/center providers in Georgia.

NPI age
10 years
≈ at median (10 yr)
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
1515 River Pl Ste 370
Braselton, GA 305175605
📞 7706485040fax 7067805366
Mailing address
1515 River Pl Ste 370
Braselton, GA 305175605
📞 7706485040fax 7067805366

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1500 Oglethorpe Ave Ste 500b
Athens, GA 306062184
📞 7706485040fax 7067805366

Authorized official

Courtney Glenn, DPM
Owner
📞 8147588425

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #POD001277 taxonomy 261QP1100X

Identifiers

TypeValueNotes
01 1831454750 PERSONAL NPI NUMBER

Practice context

Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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