Active NPI
Michael W Darnell, PT
- Physical Therapist
- Blue Ridge, GA
National Provider Identifier
1821092487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 829
- 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, 2011
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000338456D | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 829 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Physical Therapy | Current | Accepting new patients | |
| PT Solutions LLC | Physical Therapist | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- East Ellijay, GA
- NPI 1699085886
-
- Physical Therapist
- Blue Ridge, GA
- NPI 1134167851
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.