Individual provider Active NPI

Damon S Williams, P.T., S.T.S., C.E.S.

  • Physical Therapist
  • Tucker, GA
National Provider Identifier
1710999099
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006270 Issued in GA
Practice address
4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035
Phone
(470) 857-3606
NPI assigned
Aug 13, 2006
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 PT006270 GA Primary

Addresses

Primary practice location

4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

7342 Stonecrest Concourse
Suite A
Lithonia, GA 30038-6989
Phone (678) 526-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000590 GA Practitioner - Physical Therapist in Private Practice 1850325341 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

21 Ortho LN
Atlanta, GA 30329-2315
Phone (404) 778-3350

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

4650 Hugh Howell Rd
Suite 270
Tucker, GA 30084-5035
Phone (470) 857-3606

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 9, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Sep 15, 2022 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Sep 15, 2022 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
MCM Rehabilitation LLC CurrentSince Aug 25, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

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

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

4650 Hugh Howell Rd
Ste 270
Tucker, GA 30084
Phone (470) 857-3606

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1710999099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HUGH HOWELL RD STE 270",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845035",
            "telephone_number": "470-857-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7342 Stonecrest Concourse",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300386989",
            "country_code": "US",
            "telephone_number": "678-526-5400",
            "fax_number": "678-669-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAMON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "P.T., S.T.S., C.E.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.