Neil Jacob Haltom, PT, DPT

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

PT015162 Issued in GA

Practice address

4216 Washington Rd Ste 2
Evans, GA 30809-4717

Phone

(470) 809-1581

NPI assigned

Aug 20, 2019

Last updated

Jun 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Columbus Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1316108624
  Medicare reassignment NPD
• Griffin Imaging, LLC

  • Radiology Clinic/Center
  • Griffin, GA
  • NPI 1700199940
  Medicare reassignment NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982
  Medicare reassignment NPD
• Physical Therapy Pros, LLC

  • Clinical Electrophysiology Physical Therapist
  • Savannah, GA
  • NPI 1609207885
  Medicare reassignment NPD
• Columbus Diagnostic Center Inc

  dba CDC Northside

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1598081093
  NPD
• Griffin Imaging, LLC

  dba Griffin Open MRI

  • Radiology Clinic/Center
  • Griffin, GA
  • NPI 1154884674
  NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1467845404
  NPD
• Regional Open MRI, LLC

  • Radiology Clinic/Center
  • Thomson, GA
  • NPI 1528128790
  NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1306493812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR STE 420",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786160",
            "telephone_number": "404-590-5366",
            "fax_number": "770-982-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 WASHINGTON RD STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094717",
            "telephone_number": "470-809-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4372 Route 6",
            "address_purpose": "LOCATION",
            "city": "Kane",
            "state": "PA",
            "postal_code": "167353060",
            "country_code": "US",
            "telephone_number": "412-787-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011036",
            "country_code": "US",
            "telephone_number": "412-787-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Million Dollar Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158572726",
            "country_code": "US",
            "telephone_number": "412-787-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Johnny Mercer Blvd Ste 10A",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314102169",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301509",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Hillcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310214208",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "NEIL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "PT015162",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013487A",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "CP049459T",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015162",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT015162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gwynne, RDN
• Ashton Stewart Hall
• Joseph Hall Sr., DOCTOR PHD
• Susan Hall, MA, CCC-SLP
• Tanya Renee Hall, DNP
• Tanisha Hamilton, RN
• Erin Elizabeth Handley-Truckenmiller, M.S.
• Loys M Hanson, SLP
• Jenny Harbuck
• Jaceson S Hardin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.