Active NPI
Joseph Powell
- Physical Therapist
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 50 Lawrenceville St Ste 103
McDonough, GA 30253-2351 - Phone
- (770) 898-5401
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
50 Lawrenceville St Ste 103
McDonough, GA 30253-2351
Mailing address
4522 Westminster Dr
Ellenwood, GA 30294-3795
Phone (678) 565-8164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007482 | Other | GA | LICENSE# |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1151 Nortec Dr SE
Suite a
Conyers, GA 30013-5834
Phone (470) 276-6449
2200 Hwy 155 N
Suite 130
McDonough, GA 30252-4846
Phone (770) 320-7840
Merit-based Incentive Payment System (MIPS)
- Final score
- 28.44 of 100
- Quality
- 13.33
- Improvement activities
- 0
- Cost
- 77.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Rehab, Inc | Physical Therapist | Current | Accepting new patients |
| Middle Georgia Family Rehab | Current | Accepting new patients | |
| Joseph Powell | Past | Accepting new patients |
Locations
100 Hamilton Pointe Dr
Ste 115
Byron, GA 31008
Phone (478) 956-4916
1151 Nortec Dr SE
Ste A
Conyers, GA 30013
Phone (470) 276-6449
2200 Highway 155 N
Ste 130
McDonough, GA 30252
Phone (770) 320-7840
Interoperability endpoints
- https://api.platform.athenahealth.com/12689/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- McDonough, GA
- NPI 1598049447
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Byron, GA
- NPI 1245672724
-
- Physical Therapy Clinic/Center
- McDonough, GA
- NPI 1861600579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376612192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4522 WESTMINSTER DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302943795",
"telephone_number": "678-565-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LAWRENCEVILLE ST STE 103",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302532351",
"telephone_number": "770-898-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "007482",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.