Glegen Medical Ga Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GLEGEN MEDICAL GA INC

Practice address

422 Lee St
Jefferson, GA 30549-1352

Phone

(877) 340-1697

NPI assigned

Jul 30, 2026

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gleb Gendel, DO

Title

Medicalofficer

Phone

(877) 340-1697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1699698431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL # GA3035",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 LEE ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491352",
            "telephone_number": "877-340-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEGEN MEDICAL GA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "GENDEL",
        "authorized_official_first_name": "GLEB",
        "authorized_official_title_or_position": "MEDICALOFFICER",
        "authorized_official_telephone_number": "877-340-1697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Flynt
• Renah Elizabeth Gallagher, CSFA
• Briana Nicole Gantt I, FNP- BC
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 04164)
• Georgia Eyecare Group
• Hailey Grace Glowacki
• Melissa Anne Gottschall, RN
• William Ross Grimsley, MD
• Frederick C Gurley, RPH
• Carmelita Hale, LPC

• Health Service Clinic/Center in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.