VENNEISA SMITH WILLIAMS (PT005989) – Physical Therapist, NPI 1063592343

VENNEISA SMITH WILLIAMS (PT005989) is a healthcare provider. based in Griffin, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT005989. They hold a License No. PT005989 (GA). The NPI Number for VENNEISA SMITH WILLIAMS (PT005989) is 1063592343

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
VENNEISA SMITH WILLIAMS (PT005989)
NPI
1063592343
Phone
(678) 429-0272
Address
141 Futral Rd
Enumeration Date
17 October 2006
Last Update Date
12 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2020 (6 years ago)
PAC ID
8224101274
Group Practice PAC ID
4082027727
Professional Enrollment ID
I20080723000869
Address ID
GA303031292AT260XXNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for VENNEISA SMITH WILLIAMS (PT005989)

  • 141 Futral Rd

    Griffin, GA 302247455

    Phone: (678) 429-0272

    Type: Location

  • 140 RIDGE BROOK CT

    JONESBORO, GA 302385600

    Phone: (678) 480-4172

    Type: Mailing

  • 7813 SPIVEY STATION BLVD STE 230

    JONESBORO, GA 302362900

    Phone: (404) 251-2458

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080723000869IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082027727View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I verify VENNEISA SMITH WILLIAMS (PT005989) with an NPI only?
You can start verification with NPI 1063592343 for VENNEISA SMITH WILLIAMS (PT005989), then check state licensing separately.
Is VENNEISA SMITH WILLIAMS (PT005989) still practicing?
VENNEISA SMITH WILLIAMS (PT005989) is currently listed as active in the public NPI registry.
What taxonomy line describes VENNEISA SMITH WILLIAMS (PT005989)?
For research purposes, treat VENNEISA SMITH WILLIAMS (PT005989) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for VENNEISA SMITH WILLIAMS (PT005989)?
VENNEISA SMITH WILLIAMS (PT005989)'s geographic hint is Griffin, Georgia in our summary view.
Why does VENNEISA SMITH WILLIAMS (PT005989) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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