MELISSA JILL JOHNSON (PT, ATC, CSCS) – Physical Therapist, NPI 1134167216

MELISSA JILL JOHNSON (PT, ATC, CSCS) is a healthcare provider. based in Cumming, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, ATC, CSCS. They hold a License No. PT5672 (GA). The NPI Number for MELISSA JILL JOHNSON (PT, ATC, CSCS) is 1134167216

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA JILL JOHNSON (PT, ATC, CSCS)
NPI
1134167216
Phone
(678) 455-6391
Address
3145 NEW UNIVERSITY TRL
Enumeration Date
2 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043515307
Graduation Year
1997 (29 years ago)
PAC ID
5890683247
Group Practice PAC ID
1153317300
Professional Enrollment ID
I20040308000497
Address ID
GA305193950BU2723XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for MELISSA JILL JOHNSON (PT, ATC, CSCS)

  • 3145 NEW UNIVERSITY TRL

    CUMMING, GA 300411527

    Phone: (678) 455-6391

    Fax: (678) 455-6393

    Type: Mailing

  • McGinnis Ferry Road, Suwanee, Gwinnett County, Georgia, 30043, United States

    SUITE 320

    SUWANEE, GA 300241258

    Phone: (770) 495-0610

    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: 2004-03-08

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
I20040308000497IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes54217$0
97530Therapy procedure using functional activities13613$0
97140Therapy procedure using manual technique, each 15 minutes11511$0
97116Therapy procedure for walking training, each 15 minutes10611$0
97162Evaluation for physical therapy, typically 30 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 30041)

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Provider's Procedures

MELISSA JILL JOHNSON (PT, ATC, CSCS) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75322

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: 1153317300View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeNC
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-GA

Reviews

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Frequently asked questions

How is MELISSA JILL JOHNSON (PT, ATC, CSCS) identified in CMS data?
CMS-hosted NPPES data lists MELISSA JILL JOHNSON (PT, ATC, CSCS) with NPI 1134167216.
Can I rely on MELISSA JILL JOHNSON (PT, ATC, CSCS) being an active provider?
As of the registry snapshot, MELISSA JILL JOHNSON (PT, ATC, CSCS) is marked active.
What is MELISSA JILL JOHNSON (PT, ATC, CSCS)'s specialty?
The listing groups MELISSA JILL JOHNSON (PT, ATC, CSCS) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA JILL JOHNSON (PT, ATC, CSCS)?
MELISSA JILL JOHNSON (PT, ATC, CSCS)'s geographic hint is Cumming, Georgia in our summary view.
Why does MELISSA JILL JOHNSON (PT, ATC, CSCS) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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