Individual provider Active NPI

Earl Eugene Folsom Jr., P.T., D.P.T, C.H.T

  • Physical Therapist
  • Thomasville, GA
National Provider Identifier
1043409907
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1436 Issued in GA
Practice address
1203 E Jackson St
Thomasville, GA 31792-4748
Phone
(229) 228-4155
Fax
(229) 226-2321
NPI assigned
Oct 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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 1436 GA Primary

Addresses

Primary practice location

1203 E Jackson St
Thomasville, GA 31792-4748

Mailing address

PO Box 2476
Thomasville, GA 31799-2476
Phone (229) 228-4155

Other identifiers 2

IdentifierTypeStateIssuer
000296062AMedicaidGA
116558OtherGAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1436GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomasville Physical Therapy Inc Current Accepting new patients
John D Archbold Memorial Hospital Inc Past Accepting new patients

Locations

1203 E Jackson St
Thomasville, GA 31792
Phone (229) 228-4155

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1043409907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2476",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992476",
            "telephone_number": "229-228-4155",
            "fax_number": "229-226-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924748",
            "telephone_number": "229-228-4155",
            "fax_number": "229-226-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "EARL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "P.T., D.P.T, C.H.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000296062A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "116558",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.