Individual provider Active NPI

Adam L Beadles, PT

  • Physical Therapist
  • Franklin Springs, GA
National Provider Identifier
1720098940
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8221 Issued in GA
Practice address
68 Spring Station Rd
Ste D
Franklin Springs, GA 30639-3063
Phone
(706) 246-0542
Fax
(706) 246-0543
NPI assigned
Aug 9, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 8221 GA Primary

Addresses

Primary practice location

68 Spring Station Rd
Ste D
Franklin Springs, GA 30639-3063

Mailing address

68 Spring Station Rd Ste D
Franklin Springs, GA 30639
Phone (706) 246-0542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000193 GA Practitioner - Physical Therapist in Private Practice 9335105121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Rehabilitation Center,IncGroup PAC ID 7719943505, 2 clinicians

Practice addresses (Care Compare)

68 Spring Station Rd
Suite D
Franklin Springs, GA 30639
Phone (706) 246-0542

PO Box
Suite 85
Franklin Springs, GA 30639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8221GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Rehabilitation Center,Inc CurrentSince Jan 3, 2005 Accepting new patients
Back in the Game Physical Therapy, Inc CurrentSince Jul 15, 2023 Accepting new patients

Locations

2300 Liam Ave
Dacula, GA 30019
Phone (470) 294-0052

4754 Martin Rd
#200
Flowery Branch, GA 30542
Phone (770) 967-4377

651 Cook St
Royston, GA 30662
Phone (706) 246-0542

68 Spring Station Rd
Ste D
Royston, GA 30662

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1720098940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SPRING STATION RD STE D",
            "city": "FRANKLIN SPRINGS",
            "state": "GA",
            "postal_code": "30639",
            "telephone_number": "706-246-0542",
            "fax_number": "706-246-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SPRING STATION RD",
            "address_2": "STE D",
            "city": "FRANKLIN SPRINGS",
            "state": "GA",
            "postal_code": "306393063",
            "telephone_number": "706-246-0542",
            "fax_number": "706-246-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADLES",
        "first_name": "ADAM",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "8221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Springs, GA

Sources for this page

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

Verify at the official NPI Registry.