Individual provider Active NPI

Courtney Jenkins, PT, DPT

  • Physical Therapist
  • Dawsonville, GA
National Provider Identifier
1235669979
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012905 Issued in GA
Practice address
12 Dawson Market Way Ste 320
Dawsonville, GA 30534-7296
Phone
(470) 759-2415
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 PT012905 GA Primary

Addresses

Primary practice location

12 Dawson Market Way Ste 320
Dawsonville, GA 30534-7296

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

4310 Johns Creek Pkwy Ste 130
Suwanee, GA 30024-6092
Phone (770) 495-0610

Other names 1

  • Courtney Griffith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030000036 GA Practitioner - Physical Therapist in Private Practice 6103192604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

12 Dawson Market Way
Suite 320
Dawsonville, GA 30534-7296
Phone (470) 759-2415

2920 Ronald Reagan Blvd
Suite 106
Cumming, GA 30041-7578
Phone (770) 887-0502

Merit-based Incentive Payment System (MIPS)

Final score
77.03 of 100Reported as group
Quality
58.26
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Sep 4, 2024 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Sep 4, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

380 Exchange Blvd
Ste 103
Bethlehem, GA 30620
Phone (678) 218-9203

2920 Ronald Reagan Blvd
Ste 106
Cumming, GA 30041
Phone (770) 887-0502

12 Dawson Market Way
Ste 320
Dawsonville, GA 30534
Phone (470) 759-2415

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

Organizations & group practices 4

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1235669979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DAWSON MARKET WAY STE 320",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347296",
            "telephone_number": "470-759-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 Johns Creek Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246092",
            "country_code": "US",
            "telephone_number": "770-495-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "COURTNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GRIFFITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.