Individual provider Active NPI

Jessica Thai Haynie, PT, DPT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1972937993
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011212 Issued in GA
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

Updated by the provider on Aug 31, 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 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 IDStateProvider typePAC IDDetails
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, LLC 96 clinicians
Georgia Luna Care Physical Therapy LLC 167 clinicians
Independent Physical Therapy of Georgia, LLC 526 clinicians

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

LicenseStateTypeSpecialty
PT011212GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Physical Therapist CurrentSince May 23, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 18, 2017 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince May 23, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 18, 2017 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.

View all 15

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.

Verify at the official NPI Registry.