Individual provider Active NPI

Kevin Hughes, DPT

  • Physical Therapist
  • Cordele, GA
National Provider Identifier
1083871016
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009308 Issued in GA
Practice address
307 E 3Rd Ave
Cordele, GA 31015-3208
Phone
(229) 271-4612
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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 PT009308 GA Primary

Addresses

Primary practice location

307 E 3Rd Ave
Cordele, GA 31015-3208

Mailing address

1107 Greer St
Ste B
Cordele, GA 31015-1921
Phone (229) 271-4612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120507000195 GA Practitioner - Physical Therapist in Private Practice 6709048838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Georgia Rehab, IncGroup PAC ID 6204966740, 24 clinicians

Practice addresses (Care Compare)

1107 Greer St
Suite a
Cordele, GA 31015-1921
Phone (229) 273-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Georgia Rehab, Inc Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients
Crisp Regional Hospital Inc Past Accepting new patients

Locations

1107 Greer St
Ste B
Cordele, GA 31015
Phone (229) 273-9445

1107 Greer St
Ste Ab
Cordele, GA 31015
Phone (229) 273-9445

1107 Greer St
Ste A
Cordele, GA 31015
Phone (229) 273-9445

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1083871016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 GREER ST",
            "address_2": "STE B",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151921",
            "telephone_number": "229-271-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 3RD AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153208",
            "telephone_number": "229-271-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.