Individual provider Active NPI

Kelsey Jean Williams, PT, DPT

  • Physical Therapist
  • Buford, GA
National Provider Identifier
1639467848
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010615 Issued in GA
Practice address
2815 Buford Dr Ste 102
Buford, GA 30519-8151
Phone
(770) 271-4413
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1209155 TX
Physical Therapist 225100000X PT010615 GA Primary

Addresses

Primary practice location

2815 Buford Dr Ste 102
Buford, GA 30519-8151

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Other practice location 1

966 Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815

Other practice location 2

47 Postal Pkwy
Newnan, GA 30263-2885
Phone (770) 252-5279

Other practice location 3

2050 Scenic Hwy N Ste A
Snellville, GA 30078-2688
Phone (678) 344-7197

Other practice location 4

2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647
Phone (770) 932-9521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908003304 GA Practitioner - Physical Therapist in Private Practice 6709159957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Brody School of Medicine at East Carolina University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2463 Hamilton Mill Pkwy
Suite 250
Dacula, GA 30019-4647
Phone (770) 932-9521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010615GAMDPhysical Therapist
1209155TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 2, 2017 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 2, 2017 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Aug 2, 2017 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 2, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist Past 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

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

2815 Buford Dr
Ste 102
Buford, GA 30519
Phone (770) 271-4413

1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669

2463 Hamilton Mill Pkwy
Ste 250
Dacula, GA 30019
Phone (770) 365-7876

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

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

2050 Scenic Hwy N
Ste A
Snellville, GA 30078
Phone (678) 344-1797

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 8

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1639467848",
    "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": "423-497-0005",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 BUFORD DR STE 102",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198151",
            "telephone_number": "770-271-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "966 Killian Hill Rd SW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473102",
            "country_code": "US",
            "telephone_number": "770-923-4815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Postal Pkwy",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302632885",
            "country_code": "US",
            "telephone_number": "770-252-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Scenic Hwy N Ste A",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782688",
            "country_code": "US",
            "telephone_number": "678-344-7197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2463 Hamilton Mill Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300194647",
            "country_code": "US",
            "telephone_number": "770-932-9521",
            "fax_number": "770-932-9523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELSEY",
        "middle_name": "JEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1209155",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.