Active NPI
Donncharaz Xiong
- Physical Therapy Assistant
- McDonough, GA
National Provider Identifier
1790644326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- CP051863A
- Practice address
- 2168 Ga-20 W
McDonough, GA 30253 - Phone
- (470) 944-7550
- NPI assigned
- Jan 20, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5137 | SC | |
| Physical Therapy Assistant | 225200000X | CP051863A | GA | Primary |
Addresses
Primary practice location
2168 Ga-20 W
McDonough, GA 30253
Mailing address
244 Falling Creek Rd
Spartanburg, SC 29301-5217
Other practice location 1
3450 Northlake Blvd Ste 101
Palm Beach Gardens, FL 33403-1709
Phone (561) 625-2775
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 |
|---|---|---|---|
| CP051863A | GA | MD | Physical Therapy Assistant |
| 5137 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | 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.
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1790644326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 FALLING CREEK RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 GA-20 W",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30253",
"telephone_number": "470-944-7550"
}
],
"practiceLocations": [
{
"address_1": "3450 Northlake Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334031709",
"country_code": "US",
"telephone_number": "561-625-2775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XIONG",
"first_name": "DONNCHARAZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-20",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "5137",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "CP051863A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.