Individual provider Active NPI

Joseph Hires, DPT

  • Physical Therapist
  • Jesup, GA
National Provider Identifier
1093350118
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014422 Issued in GA
Practice address
1064 N Macon St
Jesup, GA 31545
Phone
(912) 427-0800
Fax
(912) 427-6029
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 PT014422 GA Primary

Addresses

Primary practice location

1064 N Macon St
Jesup, GA 31545

Mailing address

110 Professional CT
Jesup, GA 31545-0044
Phone (912) 427-0800

Other practice location 1

110 Professional Ct
Jesup, GA 31545-0044
Phone (912) 427-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513002586 GA Practitioner - Physical Therapist in Private Practice 9133550858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Institute of South Georgia, P.C.Group PAC ID 7719053651, 9 clinicians

Practice addresses (Care Compare)

1064 N Macon St
Jesup, GA 31545-1622
Phone (912) 427-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014422GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bone and Joint Institute of South Georgia, P.C. CurrentSince Dec 2, 2019 Accepting new patients

Locations

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

1064 N Macon St
Jesup, GA 31545

1064 N Macon St
Jesup, GA 31545

1912 Memorial Dr
Ste G
Waycross, GA 31501

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1093350118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 N MACON ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450044",
            "country_code": "US",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRES",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.