Active NPI
Jessica Thai Haynie, PT, DPT
- Physical Therapist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011212
- Practice address
- 575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334 - Phone
- (678) 205-5420
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011212 | GA | Primary |
Addresses
Primary practice location
575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334
Mailing address
575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334
Other practice location 1
4220 Mundy Mill Pl Ste 2B
Oakwood, GA 30566-2573
Phone (678) 750-9933
Other practice location 2
4825 S Old Peachtree Rd # 1100
Peachtree Corners, GA 30071-1504
Phone (678) 205-5420
Other practice location 3
2800 Buford Dr Ste 315
Buford, GA 30519-5630
Phone (678) 450-9933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171018001497 | GA | Practitioner - Physical Therapist in Private Practice | 7719253780 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emory Physical Therapy, LLCGeorgia Luna Care Physical Therapy LLCIndependent Physical Therapy of Georgia, LLC
Practice addresses (Care Compare)
1968 Hawks LN NE
Brookhaven, GA 30329-2283
Phone (404) 251-2537
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
916 Loganville Hwy
Suite 1130
Bethlehem, GA 30620-2153
Phone (770) 867-7463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011212 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
916 Loganville Hwy
Ste 1130
Bethlehem, GA 30620
Phone (404) 671-9525
1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Organizations & group practices 15
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.
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Physical Therapist
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- Physical Therapist
- Dawsonville, GA
- NPI 1386515955
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- Blairsville, GA
- NPI 1588931190
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- Physical Therapy Clinic/Center
- Marietta, GA
- NPI 1013292119
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- Hoschton, GA
- NPI 1124295779
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- Canton, GA
- NPI 1457608861
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- Demorest, GA
- NPI 1467556829
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- Physical Therapist
- Dahlonega, GA
- NPI 1487962684
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1609022136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1972937993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 PROFESSIONAL DR STE 370",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 PROFESSIONAL DR STE 370",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463334",
"telephone_number": "678-205-5420"
}
],
"practiceLocations": [
{
"address_1": "4220 Mundy Mill Pl Ste 2B",
"address_purpose": "LOCATION",
"city": "Oakwood",
"state": "GA",
"postal_code": "305662573",
"country_code": "US",
"telephone_number": "678-750-9933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4825 S Old Peachtree Rd # 1100",
"address_purpose": "LOCATION",
"city": "Peachtree Corners",
"state": "GA",
"postal_code": "300711504",
"country_code": "US",
"telephone_number": "678-205-5420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Buford Dr Ste 315",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305195630",
"country_code": "US",
"telephone_number": "678-450-9933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNIE",
"first_name": "JESSICA",
"middle_name": "THAI",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.