David William Anderson, PT
Individual provider Active NPI Physical Therapist · Newnan, GA
NPI 1194804880 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1194804880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CP029340T (GA)
- Practice address
- 1825 Highway 34 E Ste 2100
Newnan, GA 30265-6429 - Phone
- (706) 884-3274
- Fax
- (866) 670-0581
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125000924 | NC | Practitioner - Physical Therapist in Private Practice | 3577866698 | Reassigns benefits to 2 organizations |
| I20240410001819 | GA | Practitioner - Physical Therapist in Private Practice | 3577866698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current |
Accepting new patients |
| Hughston Clinic, P.C. | Current |
Accepting new patients | |
| Hughston Clinic, PC | Current |
Accepting new patients | |
| Ivyrehab North Carolina LLC | Current |
Accepting new patients | |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current |
Accepting new patients |
| Orthocarolina | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434
107 Calumet Center Rd
Lagrange, GA 30241
Phone (706) 884-3274
1825 Highway 34 E
Ste 2100
Newnan, GA 30265
Phone (706) 884-3274
522 N Center St
Thomaston, GA 30286
Phone (706) 646-4371
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
4833 Berewick Town Center Dr
Ste H
Charlotte, NC 28278
Phone (980) 880-6780
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP029340T | GA | Yes |
Addresses
Primary practice location
1825 Highway 34 E Ste 2100
Newnan, GA 30265-6429
Mailing address
PO Box 370
Fortson, GA 31808-0370
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.