Individual provider Active NPI

Jayme Russell Zachry

  • Physical Therapist
  • Waycross, GA
National Provider Identifier
1881551505
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018132 Issued in GA
Practice address
1912 Memorial Dr Ste G
Waycross, GA 31501-0989
Phone
(912) 427-0800
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 PT018132 GA Primary

Addresses

Primary practice location

1912 Memorial Dr Ste G
Waycross, GA 31501-0989

Mailing address

6689 Roberson Rd
Blackshear, GA 31516-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408000651 GA Practitioner - Physical Therapist in Private Practice 9436624475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Institute of South Georgia, P.C.Group PAC ID 7719053651, 9 clinicians

Practice addresses (Care Compare)

1912 Memorial Dr
Suite G
Waycross, GA 31501-0989
Phone (912) 427-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018132GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bone and Joint Institute of South Georgia, P.C. CurrentSince Feb 23, 2026 Accepting new patients

Locations

1064 N Macon St
Jesup, GA 31545

1912 Memorial Dr
Ste G
Waycross, GA 31501

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1881551505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ROBERSON RD",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315165009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MEMORIAL DR STE G",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315010989",
            "telephone_number": "912-427-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHRY",
        "first_name": "JAYME",
        "middle_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.

Verify at the official NPI Registry.