Shelby Lee Nix, OT
Individual provider Active NPI Physical Therapist · East Ellijay, GA
NPI 1801465810 · NPPES record last updated Dec 29, 2025
Key facts
- NPI
- 1801465810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- OT008088 (GA)
- Practice address
- 190 Old Orchard SQ
East Ellijay, GA 30540-8172 - Phone
- (706) 273-3131
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Physical Therapy of Georgia, LLC
Practice addresses (Care Compare)
190 Old Orchard SQ
East Ellijay, GA 30540-8172
Phone (706) 273-3131
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210630001819 | GA | Practitioner - Occupational Therapist in Private Practice | 8628479474 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008088 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OT008088 | GA | Yes |
Addresses
Primary practice location
190 Old Orchard SQ
East Ellijay, GA 30540-8172
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-3263
Other names
- Shelby Autumn Lee
NPI Registry JSON
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1801465810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-541-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 OLD ORCHARD SQ",
"city": "EAST ELLIJAY",
"state": "GA",
"postal_code": "305408172",
"telephone_number": "706-273-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "SHELBY",
"middle_name": "LEE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "OT008088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "LEE",
"middle_name": "AUTUMN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Ellijay, GA
- Diamond Mungroo
- Myeyedr Optometry of Georgia, LLC
- New Ground Care LLC
- Tan D. Nguyen
- Thomas A Nguyen
- North Georgia Physical Therapy
- Lesa Parker
- Milton Lynn Perry
- David Romesh Persaud
- Tracie Glass Pospisil
All providers in East Ellijay, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.