Active NPI
Kaylee Davis Musselwhite, PT, DPT
- Physical Therapist
- Waycross, GA
National Provider Identifier
1558898692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011923
- Practice address
- 2267 Memorial Dr Ste 300
Waycross, GA 31501-0902 - Phone
- (912) 285-1927
- Fax
- (912) 285-1929
- NPI assigned
- May 19, 2017
- Last updated
- May 19, 2017
- Sex
- Female
- 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 | PT011923 | GA | Primary |
Addresses
Primary practice location
2267 Memorial Dr Ste 300
Waycross, GA 31501-0902
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names 1
- Kaylee R Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011923 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Clinic LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Ga, LLC | Physical Therapist | Past | Accepting new patients |
| Speech-Language Pathology Contractors, Inc. | Past | Accepting new patients |
Locations
1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220
303 Pineview Dr
Waycross, GA 31501
Phone (912) 283-0777
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.
-
- Speech-Language Pathologist
- Waycross, GA
- NPI 1952417909
-
- Physical Therapist
- Waycross, GA
- NPI 1013453067
-
- Speech-Language Pathologist
- Waycross, GA
- NPI 1386871887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1558898692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2267 MEMORIAL DR STE 300",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315010902",
"telephone_number": "912-285-1927",
"fax_number": "912-285-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSELWHITE",
"first_name": "KAYLEE",
"middle_name": "DAVIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLEE",
"last_name": "DAVIS",
"middle_name": "R",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waycross, GA
- Jerry Mullis, MD
- Tera Nicole Murchinson, LPC
- David P Murphy, D.P.M.
- Jeannie Thompson Murray, LCSW
- Megan Nicole Music
- Marium Mustafa, MD
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Najam Azmat, M. D., P. C.
- Narquest Healthcare Services, LLC (Treatment Center of Waycross)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.