Individual provider Active NPI

Brian Scott Jennings, P.T.

  • Orthopedic Physical Therapist
  • Snellville, GA
National Provider Identifier
1710379839
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT003811 Issued in GA
Practice address
1254 Hollytree CT
Snellville, GA 30078-2298
Phone
(770) 982-0604
NPI assigned
Feb 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT003811 GA Primary

Addresses

Primary practice location

1254 Hollytree CT
Snellville, GA 30078-2298

Mailing address

1254 Hollytree CT
Snellville, GA 30078-2298
Phone (770) 982-0604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421001982 GA Practitioner - Physical Therapist in Private Practice 6709104854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians

Practice addresses (Care Compare)

1845 Satellite Blvd
Suite 750
Duluth, GA 30097-4005
Phone (404) 778-6490

4450 Falcon Pkwy
Flowery Branch, GA 30542-3176
Phone (404) 544-1272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Mar 9, 2015 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Mar 9, 2015 Accepting new patients

Locations

26 Eagle Row NE
Atlanta, GA 30322
Phone (404) 727-2946

1845 Satellite Blvd
Ste 600
Duluth, GA 30097
Phone (404) 778-6490

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1845 Satellite Blvd
Ste 500
Duluth, GA 30097
Phone (404) 778-5220

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1710379839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 HOLLYTREE CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782298",
            "telephone_number": "770-982-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 HOLLYTREE CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782298",
            "telephone_number": "770-982-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT003811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.