Individual provider Active NPI

Brian Edwards, PT, DPT

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1366017030
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015262 Issued in GA
Practice address
1640 Jesse Jewell Pkwy NE
Gainesville, GA 30501-2561
Phone
(770) 536-9300
Fax
(770) 536-9389
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015262 GA Primary

Addresses

Primary practice location

1640 Jesse Jewell Pkwy NE
Gainesville, GA 30501-2561

Mailing address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102

Other practice location 1

2920 Ronald Reagan Blvd Ste 107
Cumming, GA 30041-7578
Phone (770) 887-0502

Other practice location 2

7378 Friendship Springs Blvd Ste B
Flowery Branch, GA 30542-5547
Phone (678) 318-8030

Other practice location 3

1301 Sigman Rd NE Ste 220
Conyers, GA 30012-3819
Phone (678) 210-0311

Other practice location 4

920 River Centre Pl Ste 200
Lawrenceville, GA 30043-7320
Phone (678) 205-5420

Other practice location 5

575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334
Phone (678) 205-5420

Other practice location 6

225 Adams Dr Ste D
Demorest, GA 30535-4578
Phone (706) 754-2167

Other practice location 7

145 Forest Blvd Ste 200
Dawsonville, GA 30534-7878
Phone (706) 203-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027000941 GA Practitioner - Physical Therapist in Private Practice 7911395751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1640 Jesse Jewell Pkwy SE
Suite 1a
Gainesville, GA 30501-2547
Phone (770) 536-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 1, 2021 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 1, 2021 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Aug 29, 2021 Accepting new patients

Locations

1301 Sigman Rd NE
Ste 220
Conyers, GA 30012
Phone (678) 210-0311

145 Forest Blvd
Ste 200
Dawsonville, GA 30534
Phone (706) 203-2100

225 Adams Dr
Ste D
Demorest, GA 30535
Phone (706) 754-3067

7378 Friendship Springs Blvd
Ste B
Flowery Branch, GA 30542
Phone (470) 872-1810

1640 Jesse Jewell Pkwy NE
Gainesville, GA 30501
Phone (770) 536-9300

575 Professional Dr
Ste 370
Lawrenceville, GA 30046
Phone (678) 205-5420

920 River Centre Pl
#200
Lawrenceville, GA 30043
Phone (678) 205-5420

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1366017030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 JESSE JEWELL PKWY NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012561",
            "telephone_number": "770-536-9300",
            "fax_number": "770-536-9389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Ronald Reagan Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417578",
            "country_code": "US",
            "telephone_number": "770-887-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7378 Friendship Springs Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305425547",
            "country_code": "US",
            "telephone_number": "678-318-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Sigman Rd NE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123819",
            "country_code": "US",
            "telephone_number": "678-210-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 River Centre Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300437320",
            "country_code": "US",
            "telephone_number": "678-205-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Professional Dr Ste 370",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463334",
            "country_code": "US",
            "telephone_number": "678-205-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Adams Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354578",
            "country_code": "US",
            "telephone_number": "706-754-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Forest Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305347878",
            "country_code": "US",
            "telephone_number": "706-203-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.