Jedd Alan Thorderson, PT

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

PT007933 Issued in GA

Practice address

4340 Kings Way
Valdosta, GA 31602-6921

Phone

(229) 333-9736

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL, AL3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bone and Joint Institute of South Georgia, P.C.Group PAC ID 7719053651, 9 clinicians

The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jedd.thorderson.1@321.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4

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.

• Bone and Joint Institute of South Georgia, P.C.

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1528104510
  Medicare reassignment Care Compare group NPD
• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  AL

  Medicare reassignment Care Compare group NPD
• The Orthopaedic Institute PA

  • Orthopaedic Surgery Physician
  • Gainesville, FL
  • NPI 1740373547
  Medicare reassignment Care Compare group NPD
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  NPD
• The Orthopaedic Institute, PA

  • Orthopaedic Surgery Physician
  • Jupiter, FL
  • NPI 1992569198
  NPD
• Orthopaedic Specialists of South Georgia

  • Orthopaedic Surgery Physician
  • Waycross, GA
  • NPI 1912019308
  NPD (past)
• Valdosta Orthopedic Associates PC

  • Orthopaedic Surgery Physician
  • Valdosta, GA
  • NPI 1053457457
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1972790822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026921",
            "telephone_number": "229-333-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3437 Tupelo Commons",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388049791",
            "country_code": "US",
            "telephone_number": "662-680-3200",
            "fax_number": "662-680-5090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "GA",
            "postal_code": "315450044",
            "country_code": "US",
            "telephone_number": "912-427-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORDERSON",
        "first_name": "JEDD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007933",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT007933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Nicole Thomerson, OT
• Alexandra Simone McCracken Thompson
• Melanie Thompson
• T'Nijah Thompson
• Z' Mya A Thompson
• Patsy S Thornton
• Tosha Lynette Thornton, MS
• Haley Thrift, MOTR/L
• Kaitlyn Thrift
• Thrive Physical Therapy and Wellness LLC

• Clinical Electrophysiology Physical Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Electrophysiology Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.