Individual provider Active NPI

Michael Cody Malone, PT, DPT

  • Physical Therapist
  • Jefferson, GA
National Provider Identifier
1174863641
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010935 Issued in GA
Practice address
1689 Old Pendergrass Rd Ste 300
Jefferson, GA 30549-2716
Phone
(706) 387-0212
NPI assigned
Feb 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 PT010935 GA Primary

Addresses

Primary practice location

1689 Old Pendergrass Rd Ste 300
Jefferson, GA 30549-2716

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1508 N Thornton Ave Ste 106
Dalton, GA 30720-8516
Phone (706) 226-0816

Other practice location 2

3640 Mundy Mill Rd Ste 102B
Gainesville, GA 30504-8226
Phone (770) 287-8821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150602002939 GA Practitioner - Physical Therapist in Private Practice 7214258219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

1689 Old Pendergrass Rd
Suite 300
Jefferson, GA 30549-2716
Phone (706) 387-0212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010935GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Sep 1, 2015 Accepting new patients
Benchmark Physical Therapy, Inc Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
PT Authority Physical Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC CurrentSince Jun 1, 2015 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 1, 2015 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1508 N Thornton Ave
Ste 106
Dalton, GA 30720
Phone (706) 226-0816

3640 Mundy Mill Rd
Ste 102B
Gainesville, GA 30504
Phone (770) 287-8821

1689 Old Pendergrass Rd
Ste 300
Jefferson, GA 30549
Phone (706) 387-0212

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1174863641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 OLD PENDERGRASS RD STE 300",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492716",
            "telephone_number": "706-387-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 N Thornton Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208516",
            "country_code": "US",
            "telephone_number": "706-226-0816",
            "fax_number": "706-226-9584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Mundy Mill Rd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305048226",
            "country_code": "US",
            "telephone_number": "770-287-8821",
            "fax_number": "770-287-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MICHAEL",
        "middle_name": "CODY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.