Individual provider Active NPI

Donald James Walsh, PT, MS, OCS

  • Orthopedic Physical Therapist
  • Dahlonega, GA
National Provider Identifier
1881883619
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT006426 Issued in GA
Practice address
159 Sunset Dr
Ste 102
Dahlonega, GA 30597-9998
Phone
(706) 482-2268
Fax
(706) 482-2294
NPI assigned
Oct 17, 2007
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT006426 GA Primary

Addresses

Primary practice location

159 Sunset Dr
Ste 102
Dahlonega, GA 30597-9998

Mailing address

5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331002097 GA Practitioner - Physical Therapist in Private Practice 9830416874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians
Sports Medicine South of Gwinnett LLCGroup PAC ID 9335566967, 14 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (770) 237-3475

1990 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (678) 689-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine South of Gwinnett LLC CurrentSince May 3, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Orthopedic CurrentSince Feb 23, 2015 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC CurrentSince Feb 23, 2015 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

1900 Riverside Pkwy
Lawrenceville, GA 30043
Phone (770) 237-3475

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 4

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1881883619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 OLD WINDER HWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171603",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SUNSET DR",
            "address_2": "STE 102",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305979998",
            "telephone_number": "706-482-2268",
            "fax_number": "706-482-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "credential": "PT, MS, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT006426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.