Cephas S Gumbs, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006530 Issued in GA

Practice address

110 Professional CT
Jesup, GA 31545-0044

Phone

(912) 427-0800

Fax

(912) 427-6029

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bone and Joint Institute of South Georgia, P.C.

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1528104510

  GA

  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy, Inc.

  • Physical Therapist
  • Tifton, GA
  • NPI 1194796789
  NPD (past)
• Rehabilitation Services of Tifton, Inc.

  • Speech-Language Pathologist
  • Tifton, GA
  • NPI 1710958855

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1083767289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315981334",
            "telephone_number": "912-427-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBS",
        "first_name": "CEPHAS",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197213416A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Isles Family Practice
• Ashtyn Lynn Goode
• Remeshia D Grant
• Daniel Joseph Green, M.D.
• Brian Thomas Grisez, MD
• Tonya Hamilton
• Eric Bradley Hammett, CRNA
• Jackson Alexander Harbin, PA-C
• Harborview Jesup, LLC
• Carl Chris Harris Sr., RPH

• All providers in Jesup, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.