Individual provider Active NPI

Jana Lennon Weems, P.T.

  • Physical Therapist
  • Eatonton, GA
National Provider Identifier
1922021443
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8773 Issued in GA
Practice address
101 Lake Oconee Pkwy
Eatonton, GA 31024-8512
Phone
(706) 923-2015
Fax
(706) 749-7951
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 8773 GA Primary

Addresses

Primary practice location

101 Lake Oconee Pkwy
Eatonton, GA 31024-8512

Mailing address

176 Steel Bridge PT
Eatonton, GA 31024-8179
Phone (706) 473-3313

Other practice location 1

571 Hammock Rd NW
Suite 106
Milledgeville, GA 31061-7184
Phone (478) 452-6252

Other identifiers 1

IdentifierTypeStateIssuer
8773OtherGAPHYSICAL THERAPIST

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
8773GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Lakes Physcial Therapy Past Accepting new patients

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1922021443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 STEEL BRIDGE PT",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310248179",
            "telephone_number": "706-473-3313",
            "fax_number": "478-452-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310248512",
            "telephone_number": "706-923-2015",
            "fax_number": "706-749-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Hammock Rd NW",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310617184",
            "country_code": "US",
            "telephone_number": "478-452-6252",
            "fax_number": "478-452-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "JANA",
        "middle_name": "LENNON",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "8773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "8773",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.