Individual provider Active NPI

Matthew Christopher Meacham, DPT

  • Physical Therapist
  • Dalton, GA
National Provider Identifier
1346502341
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010817 Issued in GA
Practice address
785 Shugart Rd Ste 10
Dalton, GA 30720-2478
Phone
(706) 226-0816
NPI assigned
Jun 14, 2012
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 9284 TN
Physical Therapist 225100000X PT010817 GA Primary

Addresses

Primary practice location

785 Shugart Rd Ste 10
Dalton, GA 30720-2478

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

8823 Production Ln
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312002087 GA Practitioner - Physical Therapist in Private Practice 5395975312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Hines Rd NE
Suite 3
Calhoun, GA 30701-9383
Phone (706) 602-9655

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

2295 Towne Lake Pkwy
Suite 148
Woodstock, GA 30189-5520
Phone (770) 926-2744

785 Shugart Rd
Suite 10
Dalton, GA 30720-2478
Phone (706) 226-0816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010817GAMDPhysical Therapist
9284TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jun 11, 2012 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 11, 2012 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 11, 2012 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jun 11, 2012 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 1, 2024 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

102 Hines Rd NE
Ste 3
Calhoun, GA 30701
Phone (706) 602-9383

785 Shugart Rd
Ste 10
Dalton, GA 30720
Phone (706) 226-0816

1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 858-0252

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

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

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

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

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 6

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1346502341",
    "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",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SHUGART RD STE 10",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202478",
            "telephone_number": "706-226-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8823 Production Ln",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373636511",
            "country_code": "US",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9284",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.