JOVANNA ARCHIBALD (DPT) – Physical Therapist, NPI 1124413216

JOVANNA ARCHIBALD (DPT) is a healthcare provider. based in Douglasville, Georgia. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT013703 (GA). The NPI Number for JOVANNA ARCHIBALD (DPT) is 1124413216

Main info

Female
12 Years Of Experience
Name
JOVANNA ARCHIBALD (DPT)
NPI
1124413216
Phone
(850) 512-0046
Address
6002 PROFESSIONAL PKWY STE 140
Enumeration Date
6 April 2015
Last Update Date
11 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709498558
Graduation Year
2014 (12 years ago)
PAC ID
1254673361
Group Practice PAC ID
4385963172
Professional Enrollment ID
I20190419000425
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JOVANNA ARCHIBALD (DPT)

  • 6002 PROFESSIONAL PKWY STE 140

    DOUGLASVILLE, GA 301345603

    Phone: (850) 512-0046

    Type: Location

  • 8873 N CORTONA CIR

    CORDOVA, TN 380186978

    Phone:

    Type: Mailing

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: 2023-04-17

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
I20230417002444IPhysical Therapist In Private PracticeALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities70843$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64244$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes55843$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care10122$0
97163Evaluation for physical therapy, typically 45 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 30134)

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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: 4385963172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
-GA
Physical Medicine And RehabilitationMO
Orthopedic Surgery, Hand SurgeryFL
Orthopedic SurgeryGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

Is there an official ID for JOVANNA ARCHIBALD (DPT) in U.S. healthcare records?
The official identifier for JOVANNA ARCHIBALD (DPT) is NPI 1124413216.
Is JOVANNA ARCHIBALD (DPT) shown as active in public data?
Registry records indicate JOVANNA ARCHIBALD (DPT) maintains an active NPI.
What expertise is attributed to JOVANNA ARCHIBALD (DPT)?
JOVANNA ARCHIBALD (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOVANNA ARCHIBALD (DPT)?
Travel planning: use Douglasville, Georgia as the reference point for JOVANNA ARCHIBALD (DPT), then confirm.
When was this NPI issued?
Enumeration for JOVANNA ARCHIBALD (DPT) is noted as April 6, 2015 where the registry provides it.

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