Individual provider Active NPI

Carmella Neal

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1972472710
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018085 Issued in GA
Practice address
2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578
Phone
(770) 887-0502
NPI assigned
Oct 31, 2025
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 PT018085 GA Primary

Addresses

Primary practice location

2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578

Mailing address

2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578

Other practice location 1

134 Ansley Dr Ste 800
Dahlonega, GA 30533-1641
Phone (770) 982-0102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218000012 GA Practitioner - Physical Therapist in Private Practice 3577058544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2920 Ronald Reagan Blvd
Suite 106
Cumming, GA 30041-7578
Phone (770) 887-0502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018085GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Oct 23, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Oct 23, 2025 Accepting new patients

Locations

2920 Ronald Reagan Blvd
Ste 106
Cumming, GA 30041
Phone (770) 887-0502

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

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, 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": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1972472710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 RONALD REAGAN BLVD STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 RONALD REAGAN BLVD STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417578",
            "telephone_number": "770-887-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Ansley Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331641",
            "country_code": "US",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "CARMELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.