Individual provider Active NPI

Elizabeth Hope C McColm, P.T.,D.P.T.

  • Physical Therapist
  • Thomasville, GA
National Provider Identifier
1407100217
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010633 Issued in GA
Practice address
1203 E Jackson St
Thomasville, GA 31792-4748
Phone
(229) 228-4155
Fax
(229) 226-2321
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 PT010633 GA Primary

Addresses

Primary practice location

1203 E Jackson St
Thomasville, GA 31792-4748

Mailing address

PO Box 2476
Thomasville, GA 31799-2476
Phone (229) 228-4155

Other identifiers 1

IdentifierTypeStateIssuer
000296062AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT010633GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomasville Physical Therapy Inc Past Accepting new patients
John D Archbold Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 2

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1407100217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2476",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992476",
            "telephone_number": "229-228-4155",
            "fax_number": "229-226-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924748",
            "telephone_number": "229-228-4155",
            "fax_number": "229-226-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLM",
        "first_name": "ELIZABETH HOPE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "P.T.,D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000296062A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.