Active NPI
Cody Carden
- Physical Therapist
- Dallas, GA
National Provider Identifier
1750009437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016127
- Practice address
- 80 Seven Hills Blvd Ste 107
Dallas, GA 30132-0575 - Phone
- (678) 402-0515
- NPI assigned
- Aug 18, 2022
- 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 | PT016127 | GA | Primary |
Addresses
Primary practice location
80 Seven Hills Blvd Ste 107
Dallas, GA 30132-0575
Mailing address
3922 Island Creek Rd
Valdosta, GA 31601-0187
Phone (229) 328-3801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016127 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennestone Hospital, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital Unit
- Atlanta, GA
- NPI 1689361438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1750009437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3922 ISLAND CREEK RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316010187",
"telephone_number": "229-328-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEVEN HILLS BLVD STE 107",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320575",
"telephone_number": "678-402-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDEN",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.