Active NPI
Angela Nicole Nix, PT
- Orthopedic Physical Therapist
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT008404
- Practice address
- 724 Beavers Rd
Canton, GA 30115-6138 - Phone
- (404) 247-0174
- NPI assigned
- Oct 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT008404 | GA | Primary |
Addresses
Primary practice location
724 Beavers Rd
Canton, GA 30115-6138
Mailing address
724 Beavers Rd
Canton, GA 30115-6138
Phone (404) 247-0174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511I650397 | Other | GA | MEDICARE PTAN |
Other names 1
- Angela Nicole Fowler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Alabama College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6707 Hwy 431 S
Suite 101
Owens Cross Roads, AL 35763-9299
Phone (256) 539-2728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008404 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - the Orthopaedic Center, LLC | Current | Accepting new patients | |
| Georgia Bone & Joint Surgeons, P.C. | Current | Accepting new patients | |
| Proactive Physical Therapy, Inc. | Current | Accepting new patients | |
| The Orthopaedic Center | Current | Accepting new patients |
Locations
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000
927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000
927 Franklin St SE
Fl 4
Huntsville, AL 35801
927 Franklin St SE
Fl 1
Huntsville, AL 35801
6707 Highway 431 S
Ste 101
Owens Cross Roads, AL 35763
Phone (256) 210-1390
104 Liberty Ln
Scottsboro, AL 35769
Phone (256) 574-0660
4625 Alexander Dr
Ste 115
Alpharetta, GA 30022
Phone (404) 247-0174
15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
Organizations & group practices 4
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.
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
-
dba Center For Orthopedic Surgery
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1578748620
-
- Physical Therapy Clinic/Center
- Alpharetta, GA
- NPI 1750528303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1053563601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BEAVERS RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301156138",
"telephone_number": "404-247-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 BEAVERS RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301156138",
"telephone_number": "404-247-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT008404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "511I650397",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "FOWLER",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.