Active NPI
Lindsey Willis, DPT
- Physical Therapist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011320
- Practice address
- 2785 Highway 54
Peachtree City, GA 30269-1063 - Phone
- (770) 460-2296
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Newnan, GA
- NPI 1386946598
-
- Orthopaedic Surgery Physician
- Evans, GA
- NPI 1679251920
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1427887157
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Orthopedics, LLC
Practice addresses (Care Compare)
2785 Hwy 54
Peachtree City, GA 30269-1063
Phone (770) 460-0094
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140620001751 | GA | Practitioner - Physical Therapist in Private Practice | 1355565995 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011320 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Piedmont Orthopedics, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Past | Accepting new patients |
Locations
900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929
105 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 350-1122
1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771
620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812
2785 Highway 54
Peachtree City, GA 30269
Phone (404) 357-0456
Interoperability endpoints
- https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011320 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2785 Highway 54
Peachtree City, GA 30269-1063
Mailing address
900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (770) 953-6929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689098345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE STE 1700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393087",
"telephone_number": "770-953-6929",
"fax_number": "770-953-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 HIGHWAY 54",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691063",
"telephone_number": "770-460-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "LINDSEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "011320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.