Jessica Headrick Metcalf, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012513 Issued in GA

Practice address

1422 Green Rd Ste N
Chatsworth, GA 30705-6999

Phone

(706) 695-1623

Fax

(706) 695-9699

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1487108114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 GREEN RD STE N",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056999",
            "telephone_number": "706-695-1623",
            "fax_number": "706-695-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 GREEN RD STE N",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307056999",
            "telephone_number": "706-695-1623",
            "fax_number": "706-695-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "JESSICA",
        "middle_name": "HEADRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT012513",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dax McKay, MD
• Travis McKie-Voerste, LPC, NCC, ACS
• Mauricio Andres Medina Mieles, MD
• Medmark Treatment Centers of Georgia, Inc.
• Richard A Mersberger, D.O.
• Valorie J Mixon, PAC
• Lisa Monath, BS, CADCII
• Lolybeth Yolanda Montero, LMSW
• Jessica Mooningham
• Shana Leigh Morris, D.C.

• Physical Therapist in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.