NPIMap

Individual provider Active NPI

Carolyn Hax, D.P.T.

  • Physical Therapist
  • Bainbridge, GA
National Provider Identifier
1902158405
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010746 Issued in GA
Practice address
117 S. Donalson St.
Bainbridge, GA 39817-5901
Phone
(229) 246-6462
Fax
(229) 246-9959
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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 PT010746 GA Primary

Addresses

Primary practice location

117 S. Donalson St.
Bainbridge, GA 39817-5901

Mailing address

PO Box 3197
Thomasville, GA 31799-3197
Phone (229) 246-6462

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT010746GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John D. Archbold Memorial Hospital, Inc. Past Accepting new patients
Archbold Health Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1902158405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3197",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317993197",
            "telephone_number": "229-246-6462",
            "fax_number": "229-246-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S. DONALSON ST.",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398175901",
            "telephone_number": "229-246-6462",
            "fax_number": "229-246-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAX",
        "first_name": "CAROLYN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.