P Praxis·MD
● Active Type 2 · Organization Subpart

Collier B. Gladin, Jr., M.d., Llc

Family Medicine·MacOn, GA· NPI 1780992198 · Enumerated 2010 · 15 years on NPI
Collier B. Gladin, Jr., M.d., Llc is 1 of 5448 family medicine organizations in Georgia.
NPI age
15 years
Enumerated 2010-09-20
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gladin
Owner
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05

How this organization compares

Across 5448 active family medicine providers in Georgia.

NPI age
15 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-09Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
140 Northcrest Blvd.
MacOn, GA 31210
📞 4787578335fax 4787578353
Mailing address
140 Northcrest Blvd.
MacOn, GA 31210
📞 4787578335fax 4787578353

Authorized official

Collier B. Gladin, M.D.
Owner
📞 4787578335

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #030609 taxonomy 207Q00000X
  • Preferred Provider Organization
    A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
    GA license #030609 taxonomy 305R00000X

Identifiers

TypeValueNotes
05 (GA) 000383446D
01 (GA) D29570 UPIN

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Collier B Gladin Jr MD
    Type code 3 recorded 2010-09-20

Practice context

Single-site organization. Only one practice location on file.

Subpart of Collier B. Gladin, JR. M.d., Llc.

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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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