Sydnie Glogowski

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

132 Rivercrest LN
Suwanee, GA 30024-5439

Phone

(904) 524-6614

NPI assigned

Nov 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peach State Emergency Physicians LLC

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1053170605
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1396561817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RIVERCREST LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245439",
            "telephone_number": "904-524-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 RIVERCREST LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245439",
            "telephone_number": "904-524-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOGOWSKI",
        "first_name": "SYDNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujata Gill, MD
• April Girard, O.T.
• Givhan Boy LLC
• Jaclyn Gleske, PA-C
• Anna Dolly Glisson
• Kelsey Constance Gnau, M.S. OTR/L
• Sueji Goak
• Spencer Lewis Gobbel, MS, BCBA
• Hope Mullins Godleski, LCSW
• Virginia Godwin, MA, CCC-SLP

• Physician Assistant in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.