Individual provider Active NPI

Benjamin Thomas Ivey III, PT, DPT

  • Physical Therapist
  • Hinesville, GA
National Provider Identifier
1184377640
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015754 Issued in GA
Practice address
475 S Main St
Hinesville, GA 31313-4312
Phone
(912) 353-9378
NPI assigned
Feb 3, 2022
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP029829T SC
Physical Therapist 225100000X PT015754 GA Primary

Addresses

Primary practice location

475 S Main St
Hinesville, GA 31313-4312

Mailing address

2 Johnny Mercer Blvd Apt 601
Savannah, GA 31410-3316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027000076 GA Practitioner - Physical Therapist in Private Practice 0547616534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, 143 clinicians

Practice addresses (Care Compare)

123 Canal St
Suite 203
Pooler, GA 31322-4104
Phone (912) 988-1283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP029829TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Rehab Services, LLC CurrentSince Jul 29, 2023 Accepting new patients
Effingham Rehab Services, LLC Physical Therapist Current Accepting new patients
Effingham Rehab Services, LLC CurrentSince Jul 29, 2023 Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients

Locations

123 Village At Glynn Pl
Brunswick, GA 31525
Phone (912) 208-5170

475 S Main St
Hinesville, GA 31313
Phone (912) 353-9378

172 Tower Rd
Jesup, GA 31545
Phone (912) 427-4290

1390 Boone Avenue Ext
Ste A23
Kingsland, GA 31548

123 Canal St
Pooler, GA 31322
Phone (912) 988-1283

123 Canal St
Ste 203
Pooler, GA 31322
Phone (912) 388-1283

2709 US Highway 17
Richmond Hill, GA 31324

804 Towne Park Dr
Ste 400
Rincon, GA 31326
Phone (912) 826-3797

111 Jazie Dr
Ste E
Savannah, GA 31410
Phone (912) 898-7714

22 W Oglethorpe Ave
Savannah, GA 31401
Phone (912) 443-1400

902 E 67th St
Savannah, GA 31405
Phone (912) 335-9378

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1184377640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOHNNY MERCER BLVD APT 601",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S MAIN ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134312",
            "telephone_number": "912-353-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP029829T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.