Individual provider Active NPI

Nicholas Arceneaux, PT, DPT

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1033946553
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017381 Issued in GA
Practice address
250 John Morrow Jr Pkwy
Suite 115-116
Gainesville, GA 30501
Phone
(678) 862-0007
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017381 GA Primary

Addresses

Primary practice location

250 John Morrow Jr Pkwy
Suite 115-116
Gainesville, GA 30501

Mailing address

1000 Rea Dr
Apt. 2412
Gainesville, GA 30501
Phone (706) 531-8193

Other names 1

  • Dr. Nick Arceneaux Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000941 GA Practitioner - Physical Therapist in Private Practice 4789119926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Florida College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnyss IncGroup PAC ID 8628459302, 9 clinicians

Practice addresses (Care Compare)

250 John W Morrow Jr Pkwy
Suite 115
Gainesville, GA 30501-8532
Phone (678) 862-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017381GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnyss Inc CurrentSince Sep 10, 2024 Accepting new patients
Denizen Endeavors Inc. CurrentSince Sep 10, 2024 Accepting new patients

Locations

3820 Pleasant Hill Rd
Ste 4
Duluth, GA 30096
Phone (770) 623-9291

250 John W Morrow Jr Pkwy
Ste 115
Gainesville, GA 30501
Phone (678) 862-0007

6955 McGinnis Ferry Rd
Ste 111
Johns Creek, GA 30097

3429 Lawrenceville Suwanee Rd
Ste A
Suwanee, GA 30024
Phone (770) 800-8010

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1033946553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REA DR",
            "address_2": "APT. 2412",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "706-531-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 JOHN MORROW JR PKWY",
            "address_2": "SUITE 115-116",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "678-862-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCENEAUX",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "ARCENEAUX",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.