Active NPI
Wade Benjamin Norris III
- Physical Therapist
- Valdosta, GA
National Provider Identifier
1386387256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015533
- Practice address
- 4274 N Valdosta Rd Ste B
Valdosta, GA 31602-6814 - Phone
- (229) 433-3870
- NPI assigned
- Apr 18, 2022
- 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 | PT015533 | GA | Primary |
Addresses
Primary practice location
4274 N Valdosta Rd Ste B
Valdosta, GA 31602-6814
Mailing address
4274 N Valdosta Rd Ste B
Valdosta, GA 31602-6814
Phone (229) 433-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607000004 | GA | Practitioner - Physical Therapist in Private Practice | 0244618072 | 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
- PT Solutions of Acworth LLC
Practice addresses (Care Compare)
351 Northside Dr
Valdosta, GA 31602-1861
Phone (229) 262-3377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Valdosta and Lowndes County Georgia | Past | Accepting new patients | |
| Independent Physical Therapy of Ga, LLC | Physical Therapist | Past | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1306896253
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- Physical Therapist
- Waycross, GA
- NPI 1013453067
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1386387256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4274 N VALDOSTA RD STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026814",
"telephone_number": "229-433-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4274 N VALDOSTA RD STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026814",
"telephone_number": "229-433-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "WADE",
"middle_name": "BENJAMIN",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-18",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.