Active NPI
Jon Mason Clements
- Physical Therapist
- Macon, GA
National Provider Identifier
1679482475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018568
- Practice address
- 535 Coliseum Dr
Macon, GA 31217-0104 - Phone
- (478) 803-7300
- NPI assigned
- Sep 5, 2026
- Sex
- Male
- 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 | PT018568 | GA | Primary |
Addresses
Primary practice location
535 Coliseum Dr
Macon, GA 31217-0104
Mailing address
211 Wild Azalea Dr
Perry, GA 31069-9445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1679482475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 WILD AZALEA DR",
"city": "PERRY",
"state": "GA",
"postal_code": "310699445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 COLISEUM DR",
"city": "MACON",
"state": "GA",
"postal_code": "312170104",
"telephone_number": "478-803-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "JON",
"middle_name": "MASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-05",
"last_updated": "2026-09-05",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.