Individual provider Active NPI

William Jared Jinks, PT

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1215048004
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008452 Issued in GA
Practice address
655 Jesse Jewell Pkwy SE
Suite C
Gainesville, GA 30501-3722
Phone
(770) 539-9001
Fax
(770) 539-9217
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 PT008452 GA Primary

Addresses

Primary practice location

655 Jesse Jewell Pkwy SE
Suite C
Gainesville, GA 30501-3722

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610000190 GA Practitioner - Physical Therapist in Private Practice 9537480942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

1100 Sherwood Park Dr NE
Suite 140
Gainesville, GA 30501-3426
Phone (770) 297-7750

2463 Hamilton Mill Pkwy
Suite 250
Dacula, GA 30019-4647
Phone (770) 932-9521

3919 Carter Rd
A
Buford, GA 30518-1628
Phone (470) 589-1058

6055 Hwy 124 W
Suite 110
Hoschton, GA 30548-5534
Phone (706) 654-2000

6601 Sugarloaf Pkwy
Suite 230
Duluth, GA 30097-4936
Phone (770) 814-3900

689 Hospital Rd
Commerce, GA 30529-1146
Phone (706) 335-9300

885 Dawsonville Hwy
Suite 1140
Gainesville, GA 30501-2642
Phone (678) 943-8691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 1, 2015 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

1021 Parkway Blvd
Ste 101
Athens, GA 30606
Phone (706) 352-2448

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

6055 Highway 124 W
Ste 110
Hoschton, GA 30548
Phone (706) 654-2000

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

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

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1215048004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 JESSE JEWELL PKWY SE",
            "address_2": "SUITE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013722",
            "telephone_number": "770-539-9001",
            "fax_number": "770-539-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINKS",
        "first_name": "WILLIAM",
        "middle_name": "JARED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.