Pam Jean Walcott, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1350 Issued in GA

Practice address

640A Helen Hwy
Cleveland, GA 30528-1051

Phone

(706) 865-4772

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1134634744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640A HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281051",
            "telephone_number": "706-865-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640A HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281051",
            "telephone_number": "706-865-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCOTT",
        "first_name": "PAM",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicole Vann, DO
• Liane Corbin Varnes, IBCLC
• Lindsey B Vinson V
• Allyson Brooke Wakenigg
• Wal-Mart Stores East LP
• Walgreen Co
• Edward Hugh Wall, DMD
• William Mark Walters, M.D.
• Wellspring Therapy Associates, LLC
• Westmoreland Haven, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.