Active NPI
Jeffrey Albert Bollig, DPT
- Physical Therapist
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015322
- Practice address
- 16915 Highway 67 Ste a
Statesboro, GA 30458-5819 - Phone
- (912) 681-2500
- NPI assigned
- Jan 19, 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 | PT015322 | GA | Primary |
Addresses
Primary practice location
16915 Highway 67 Ste a
Statesboro, GA 30458-5819
Mailing address
809 Coursey Landing Rd
Newington, GA 30446-2325
Phone (912) 857-4017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220415000381 | GA | Practitioner - Physical Therapist in Private Practice | 7012303266 | Reassigns benefits to 1 organization |
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
- Optim Orthopedics LLC
Practice addresses (Care Compare)
17007 Hwy 67
Statesboro, GA 30458-2426
Phone (912) 681-2500
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015322 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
16915 Highway 67
#A
Statesboro, GA 30458
Phone (912) 681-2500
Interoperability endpoints
- jeffrey.bollig.1@16403.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1053704254
-
- Orthopaedic Surgery Physician
- Vidalia, GA
- NPI 1386038057
-
- Orthopaedic Surgery Physician
- Brunswick, GA
- NPI 1487047726
-
- Orthopaedic Surgery Physician
- Richmond Hill, GA
- NPI 1548653330
-
- Orthopaedic Surgery Physician
- Rincon, GA
- NPI 1730573841
-
- Orthopaedic Surgery Physician
- Statesboro, GA
- NPI 1801280664
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1760134035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 COURSEY LANDING RD",
"city": "NEWINGTON",
"state": "GA",
"postal_code": "304462325",
"telephone_number": "912-857-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16915 HIGHWAY 67 STE A",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585819",
"telephone_number": "912-681-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLIG",
"first_name": "JEFFREY",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.