Individual provider Active NPI

Jessica Nicole McGhee, PTA

  • Physical Therapy Assistant
  • Albany, GA
National Provider Identifier
1275000655
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA003928 Issued in GA
Practice address
2411 Westgate Dr
Albany, GA 31707-2225
Phone
(229) 883-4009
Fax
(229) 883-4320
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA003928 GA Primary

Addresses

Primary practice location

2411 Westgate Dr
Albany, GA 31707-2225

Mailing address

130 E Broad St
Camilla, GA 31730-1809
Phone (229) 336-1115

Other practice location 1

130 E Broad St
Camilla, GA 31730-1809
Phone (229) 336-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA003928GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flint River Physical Therapy LLC PastSince Oct 30, 2000 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1275000655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301809",
            "telephone_number": "229-336-1115",
            "fax_number": "229-336-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WESTGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072225",
            "telephone_number": "229-883-4009",
            "fax_number": "229-883-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Camilla",
            "state": "GA",
            "postal_code": "317301809",
            "country_code": "US",
            "telephone_number": "229-336-1115",
            "fax_number": "229-336-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.