Active NPI
Jonah Negusse
- Orthopedic Physical Therapist
- Fayetteville, GA
National Provider Identifier
1205770344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT018214
- Practice address
- 229 Blue Point Pkwy
Fayetteville, GA 30215-5110 - Phone
- (734) 546-9551
- NPI assigned
- Apr 17, 2026
- Last updated
- Apr 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT018214 | GA | Primary |
Addresses
Primary practice location
229 Blue Point Pkwy
Fayetteville, GA 30215-5110
Mailing address
229 Blue Point Pkwy
Fayetteville, GA 30215-5110
Phone (734) 546-9551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Grand Oak Dr
Fayetteville, GA 30214-4632
Phone (770) 626-5340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018214 | GA | MD | Orthopedic Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Newnan, GA
- NPI 1447276811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1205770344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 BLUE POINT PKWY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302155110",
"telephone_number": "734-546-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 BLUE POINT PKWY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302155110",
"telephone_number": "734-546-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGUSSE",
"first_name": "JONAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT018214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Lateefah Nation, RD, LD
- National Medical Equipment & Supply Company LLC
- National Vision, Inc. (America's Best Contacts & Eyeglasses)
- Nations Health Services, Inc
- Matilda Nchifor, PHARMD
- Keanna Nelson, CCC-SLP
- Neurology Associates, P.C.
- New Generation Autistic and Behavioral Center LLC
- New Heights Behavioral Consultants, LLC
- New Hope Chiropractic Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.