DR. COURTNEY NICOLE GLEASON (M.D.) – Pediatric Sports Medicine Physician, NPI 1154585438

DR. COURTNEY NICOLE GLEASON (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. TRN13066 (FL). The NPI Number for DR. COURTNEY NICOLE GLEASON (M.D.) is 1154585438

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. COURTNEY NICOLE GLEASON (M.D.)
NPI
1154585438
Phone
(404) 778-4398
Address
59 Executive Park S
Enumeration Date
15 July 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
4047787525
Graduation Year
2008 (18 years ago)
PAC ID
2365724556
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20170124000809
Address ID
GA303221013AT1365XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

150 SPORTS MEDICINE in GA

Provider Addresses for DR. COURTNEY NICOLE GLEASON (M.D.)

  • 59 Executive Park S

    Atlanta, GA 303292208

    Phone: (404) 778-4398

    Type: Location

  • 1968 HAWKS LN NE STE 200

    ATLANTA, GA 303292283

    Phone: (404) 778-4398

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170124000809ISports MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11875$0
20610Aspiration and/or injection of fluid from large joint8440$0
J1030Injection, methylprednisolone acetate, 40 mg8246$0
J2795Injection, ropivacaine hydrochloride, 1 mg7814$0
73562X-ray of knee, 3 views5144$0
View full utilization report →

Insurance plans in this area (ZIP 30329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

How do payers reference DR. COURTNEY NICOLE GLEASON (M.D.)?
For DR. COURTNEY NICOLE GLEASON (M.D.), use NPI 1154585438 as the unique 10-digit identifier.
Would DR. COURTNEY NICOLE GLEASON (M.D.) appear as active to a payer?
You can treat DR. COURTNEY NICOLE GLEASON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. COURTNEY NICOLE GLEASON (M.D.)?
DR. COURTNEY NICOLE GLEASON (M.D.)'s record emphasizes Pediatric Sports Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. COURTNEY NICOLE GLEASON (M.D.) located near Atlanta?
DR. COURTNEY NICOLE GLEASON (M.D.) currently maps to Atlanta, Georgia in this extract.
Does DR. COURTNEY NICOLE GLEASON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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