Kristy A Weems, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006086 Issued in GA

Practice address

310 Shirley Ave
Douglas, GA 31533-2332

Phone

(912) 260-3650

Fax

(912) 383-7361

NPI assigned

Jun 21, 2007

Last updated

Sep 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

Ear, Nose, and Throat Clinic of Coffee Co.Group PAC ID 4486698578, 11 clinicians

Practice addresses (Care Compare)

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.

• Ear, Nose and Throat Clinic of Coffee Co.

  • Specialist
  • Douglas, GA
  • NPI 1891750774
  Medicare reassignment Care Compare group NPD
• Care Medical Center LLC

  • Exclusive Provider Organization
  • Valdosta, GA
  • NPI 1063521250
  Medicare reassignment Care Compare group
• Douglas Physical Therapy Inc

  • Physical Therapist
  • Douglas, GA
  • NPI 1639289325
  NPD (past)
• Westside Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Douglas, GA
  • NPI 1013158948
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1356547087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WESTSIDE DR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333530",
            "telephone_number": "912-384-2200",
            "fax_number": "912-383-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-260-3650",
            "fax_number": "912-383-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "KRISTY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "006086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST STATE",
            "identifier": "006086",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ware Visiting Nurses Service, Inc (Adoration Home Health)
• Brian Keith Waters, D.C.
• Tequasia Watts
• Julie Weaver, RDH
• Jeffrey Philip Weems, ATC
• Westside Drug Inc (Hospital Discount Drugs)
• Westside Drugs Inc (Hospital Discount Drugs)
• Westside Drugs, Inc (South Georgia Home Healthcare)
• Westside Surgery Center, LLC
• Westside Surgery LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.