Individual provider Active NPI

Jonathan Chance Haygood

  • Physical Therapist
  • Dublin, GA
National Provider Identifier
1609709385
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018292 Issued in GA
Practice address
911 Hillcrest Pkwy
Dublin, GA 31021-4207
Phone
(478) 275-1800
NPI assigned
Jun 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 PT018292 GA Primary

Addresses

Primary practice location

911 Hillcrest Pkwy
Dublin, GA 31021-4207

Mailing address

911 Hillcrest Pkwy
Dublin, GA 31021-4207
Phone (478) 275-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618002867 GA Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Physical Medicine and Rehabilitation 3577035773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018292GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Advantage and Sports Medicine, Inc PastSince Mar 6, 2003 Accepting new patients

Organizations & group practices 1

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": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1609709385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214207",
            "telephone_number": "478-275-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214207",
            "telephone_number": "478-275-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYGOOD",
        "first_name": "JONATHAN",
        "middle_name": "CHANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.