Individual provider Active NPI

Michael W Darnell, PT

  • Physical Therapist
  • Blue Ridge, GA
National Provider Identifier
1821092487
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
829 Issued in GA
Practice address
5425 Appalachian Hwy
Ste 2
Blue Ridge, GA 30513-4295
Phone
(706) 632-8535
NPI assigned
Jun 10, 2005
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 829 GA Primary

Addresses

Primary practice location

5425 Appalachian Hwy
Ste 2
Blue Ridge, GA 30513-4295

Mailing address

5425 Appalachian Hwy
Ste 2
Blue Ridge, GA 30513-4295
Phone (706) 632-8535

Other identifiers 1

IdentifierTypeStateIssuer
000338456DMedicaidGA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
829GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Physical Therapy Current Accepting new patients
PT Solutions LLC Physical Therapist PastSince Feb 16, 2020 Accepting new patients

Locations

5425 Appalachian Hwy
Ste 2
Blue Ridge, GA 30513
Phone (706) 632-8535

97 Hefner St
Ste 100
East Ellijay, GA 30540
Phone (706) 635-1440

Organizations & group practices 3

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1821092487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 APPALACHIAN HWY",
            "address_2": "STE 2",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134295",
            "telephone_number": "706-632-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 APPALACHIAN HWY",
            "address_2": "STE 2",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134295",
            "telephone_number": "706-632-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000338456D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.