Naandria Ruth Newsom

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008476 Issued in GA

Practice address

3054 Red Oak TRL
Decatur, GA 30034-6975

Phone

(404) 536-4681

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nubody Rehabilitation and Wellness

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1750009023
  NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1225756588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 RED OAK TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 RED OAK TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346975",
            "telephone_number": "404-536-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "NAANDRIA",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen C Newell, M.D.
• Randall I Newman, MD
• Samuel Newman, LMSW
• Tammy Newman
• Newport Integrated Behavioral Healthcare, Inc
• David Newton, LPC
• Nexus Laboratories, Inc.
• Tammy Raquel Neyland-Goines, P.T.
• Judith Fuajong Ngulefac
• Barbara Nguyen, M.D.

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.