Active NPI
Jaclyn Meadows, PT
- Physical Therapist
- Hinesville, GA
National Provider Identifier
1366606899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006699
- Practice address
- 512 S Main St
Hinesville, GA 31313-4325 - Phone
- (912) 368-4131
- Fax
- (912) 368-4132
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006699 | GA | Primary |
Addresses
Primary practice location
512 S Main St
Hinesville, GA 31313-4325
Mailing address
PO Box 2829
Richmond Hill, GA 31324-2829
Phone (912) 756-5699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10144 Ford Ave
Richmond Hill, GA 31324-3936
Phone (912) 727-2321
PO Box
Suite 1272
Richmond Hill, GA 31324-3936
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006699 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCD Rehab & Fitness, LLC | Current | Accepting new patients | |
| Scholar Rehab | Physical Therapist | Past | Accepting new patients |
| West Rehab Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
10144 Ford Ave
Richmond Hill, GA 31324
Phone (912) 727-2321
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.
-
- Rehabilitation Clinic/Center
- Tybee Island, GA
- NPI 1588667430
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1366606899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2829",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313242829",
"telephone_number": "912-756-5699",
"fax_number": "912-756-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S MAIN ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134325",
"telephone_number": "912-368-4131",
"fax_number": "912-368-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "JACLYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.