Individual provider Active NPI

Hayden Wyatt Smith

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1477436590
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017829 Issued in GA
Practice address
540 W Crossville Rd Ste 203
Roswell, GA 30075-7524
Phone
(678) 585-0175
NPI assigned
Jul 28, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 PT017829 GA Primary

Addresses

Primary practice location

540 W Crossville Rd Ste 203
Roswell, GA 30075-7524

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

12874 Hwy 9
Unit 204
Milton, GA 30004
Phone (404) 784-2919

Other practice location 2

2580 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8642
Phone (770) 916-1567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120004330 GA Practitioner - Physical Therapist in Private Practice 8325530991 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

540 W Crossville Rd
Suite 203
Roswell, GA 30075-7524
Phone (678) 585-0175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017829GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Dec 1, 2025 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 12, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Nov 16, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Nov 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

2580 Windy Hill Rd SE
Ste 300
Marietta, GA 30067
Phone (770) 916-1567

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

540 W Crossville Rd
Ste 203
Roswell, GA 30075
Phone (678) 585-0175

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1477436590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W CROSSVILLE RD STE 203",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757524",
            "telephone_number": "678-585-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12874 Hwy 9",
            "address_2": "Unit 204",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "30004",
            "country_code": "US",
            "telephone_number": "404-784-2919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 Windy Hill Rd SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678642",
            "country_code": "US",
            "telephone_number": "770-916-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HAYDEN",
        "middle_name": "WYATT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.