James Daniel Stout, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011895 Issued in GA

Practice address

102 Hines Rd NE
Ste 3
Calhoun, GA 30701-9374

Phone

(706) 602-9655

Fax

(706) 602-9676

NPI assigned

Oct 20, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in GA, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Swallowing DiagnosticsGroup PAC ID 7719239359, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Southeastern Swallowing Diagnostics

  • Health Service Clinic/Center
  • Ooltewah, TN
  • NPI 1205377348

  GA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1306218177",
    "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": "102 HINES RD NE",
            "address_2": "STE 3",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307019374",
            "telephone_number": "706-602-9655",
            "fax_number": "706-602-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-20",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline M Stackhouse, MD
• Robin Stallings, RN
• Amanda Stephenson
• Dana Michelle Stewart, FNP-C
• Taylor Blair Stone, FNP-C
• Savannah S Sullivan, CRNA
• John Sweklo, PA-C
• Breanna Ray Tackett, BSW
• Tapestry Hospice of Northwest Georgia LLC (Abella Palliative Care)
• Donald D Taylor, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.