Active NPI
Annette L. Jones, PT, DPT
- Physical Therapist
- Calhoun, GA
National Provider Identifier
1063296549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016809
- Practice address
- 1114 S Wall St
Calhoun, GA 30701-3062 - Phone
- (706) 624-3000
- Fax
- (706) 624-3001
- NPI assigned
- Aug 24, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016809 | GA | Primary |
Addresses
Primary practice location
1114 S Wall St
Calhoun, GA 30701-3062
Mailing address
1114 S Wall St
Calhoun, GA 30701-3062
Phone (706) 624-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Smyrna, GA 30082
Phone (301) 275-4057
37 Brock Dr
Lookout Mountain, GA 30750-2207
Phone (301) 275-4057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016809 | GA | MD | Physical Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1063296549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 S WALL ST",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013062",
"telephone_number": "706-624-3000",
"fax_number": "706-624-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 S WALL ST",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013062",
"telephone_number": "706-624-3000",
"fax_number": "706-624-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANNETTE",
"middle_name": "L.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.