Individual provider Active NPI

Jacklyn Paumig

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1275246977
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016618 Issued in GA
Practice address
4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800
Phone
(678) 985-0238
NPI assigned
Dec 28, 2022
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X PT016618 GA Primary

Addresses

Primary practice location

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647
Phone (770) 365-7876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719000638 GA Practitioner - Physical Therapist in Private Practice 4486014719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Benchmark Physical Therapy, IncGroup PAC ID 1557395209, 69 clinicians

Practice addresses (Care Compare)

11172 Hwy 142 N
Covington, GA 30014-2547
Phone (678) 712-3692

11720 Medlock Bridge Rd
Suite 550
Johns Creek, GA 30097-2505
Phone (678) 364-7195

123 Battlefield Crossing CT
Ringgold, GA 30736-5176
Phone (706) 861-8775

1820 Hwy 20 SE
Suite 160
Conyers, GA 30013-2080
Phone (770) 929-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jun 9, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 9, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 2, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 9, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jun 9, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 2, 2025 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jun 9, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

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

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

11172 Highway 142 N
Covington, GA 30014
Phone (678) 712-3692

2463 Hamilton Mill Pkwy
Ste 250
Dacula, GA 30019
Phone (770) 365-7876

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

4825 Sugarloaf Pkwy
Ste C
Lawrenceville, GA 30044
Phone (678) 583-9954

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

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

1615 State Highway 17
Ste 9
Young Harris, GA 30582
Phone (706) 896-2771

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1275246977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SUGARLOAF PKWY STE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448800",
            "telephone_number": "678-985-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2463 Hamilton Mill Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300194647",
            "country_code": "US",
            "telephone_number": "770-365-7876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUMIG",
        "first_name": "JACKLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.