Active NPI
Jamie Hancock, PT
- Physical Therapist
- Griffin, GA
National Provider Identifier
1992186332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012078
- Practice address
- 747 S 8TH St Ste D
Griffin, GA 30224-4884 - Phone
- (470) 935-5560
- Fax
- (770) 999-2794
- NPI assigned
- Jun 11, 2015
- 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 | PT012078 | GA | Primary |
Addresses
Primary practice location
747 S 8TH St Ste D
Griffin, GA 30224-4884
Mailing address
747 S 8TH St Ste D
Griffin, GA 30224-4884
Phone (470) 935-5560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012078 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1992186332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 S 8TH ST STE D",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244884",
"telephone_number": "470-935-5560",
"fax_number": "770-999-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 S 8TH ST STE D",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244884",
"telephone_number": "470-935-5560",
"fax_number": "770-999-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JAMIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.