Active NPI
Shakiah Simone Watson, PT
- Physical Therapist
- Hampton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018029
- Practice address
- 1883 McDonough Rd
Hampton, GA 30228-3516 - Phone
- (770) 603-7050
- Fax
- (770) 603-7049
- NPI assigned
- Sep 17, 2025
- 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 | PT018029 | GA | Primary |
Addresses
Primary practice location
1883 McDonough Rd
Hampton, GA 30228-3516
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (951) 335-9825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251010000658 | GA | Practitioner - Physical Therapist in Private Practice | 0648777011 | 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
- Human Performance and Rehabilitation Centers LLC
Practice addresses (Care Compare)
1883 McDonough Rd
Suite C
Hampton, GA 30228-3516
Phone (770) 603-7050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers, LLC | Physical Therapist | Current | Accepting new patients |
| Human Performance and Rehabilitation Centers LLC | Current | Accepting new patients |
Locations
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
1883 McDonough Rd
Ste C
Lovejoy, GA 30228
Phone (760) 219-4631
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 5
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.
-
- Physical Therapist
- Columbus, GA
- NPI 1104415983
GA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1891583654
-
- Durable Medical Equipment & Medical Supplies
- Conyers, GA
- NPI 1508620808
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1376135707
-
- Physical Therapy Clinic/Center
- Auburn, AL
- NPI 1720677503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1982575379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "951-335-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1883 MCDONOUGH RD",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302283516",
"telephone_number": "770-603-7050",
"fax_number": "770-603-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHAKIAH",
"middle_name": "SIMONE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.