George Elder Stuart Jr., PT, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5769 Issued in MS

Practice address

105 Lexington Dr Ste H
Madison, MS 39110-6646

Phone

(601) 910-7300

Fax

(601) 910-7071

NPI assigned

Nov 10, 2018

Last updated

Feb 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dpti Elite Physical Therapy LLC

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  • NPI 1386010718
  Medicare reassignment NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448

  Physical Therapy

  Medicare reassignment NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Baldwyn, MS
  • NPI 1013383496
  NPD
• Healing Hands Rehabilitation Services, LLC

  • Behavior Analyst
  • Gluckstadt, MS
  • NPI 1609691963
  NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1962970616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR STE H",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106646",
            "telephone_number": "601-910-7300",
            "fax_number": "601-910-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR STE H",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106646",
            "telephone_number": "601-910-7300",
            "fax_number": "601-910-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Nissan Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390467006",
            "country_code": "US",
            "telephone_number": "601-859-3776",
            "fax_number": "601-859-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "GEORGE",
        "middle_name": "ELDER",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-10",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "5769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Stokes, DMD
• Emily Storey, RN
• Clifton Story, MD
• Rachael Stout, PMHNP-BC
• Jonathan Chandler Strain, PHARM D
• Miranda Street Sudduth, PA-C
• David M Sullivan, M.D.
• Sabra Sullivan, M.D., PHD.
• Spencer K Sullivan, MD
• Sonya Sebren Summerlin

• Physical Therapy Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.