ANDREW WOLVERTON – Physical Therapist, NPI 1154006047

ANDREW WOLVERTON is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold a License No. PT016650 (GA). The NPI Number for ANDREW WOLVERTON is 1154006047

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW WOLVERTON
NPI
1154006047
Phone
(404) 309-8888
Address
3046 PEACHTREE DR NE
Enumeration Date
19 June 2023
Last Update Date
19 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4044775555
Graduation Year
2023 (3 years ago)
PAC ID
2860856721
Group Practice PAC ID
1557402625
Professional Enrollment ID
I20230911002010
Address ID
GA303421978AT5290XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

Provider Addresses for ANDREW WOLVERTON

  • 3046 PEACHTREE DR NE

    ATLANTA, GA 303057900

    Phone: (404) 309-8888

    Type: Mailing

  • 5290 ROSWELL RD STE W

    ATLANTA, GA 303421978

    Phone: (404) 477-5555

    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: 2023-09-11

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
I20230911002010IPhysical Medicine And RehabilitationGATBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20115$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14116$0
97530Therapy procedure using functional activities13513$0
97140Therapy procedure using manual technique, each 15 minutes7213$0
View full utilization report →

Insurance plans in this area (ZIP 30305)

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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: 1557402625View full group profile
NameSpecialtyState
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
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What NPI should I save for ANDREW WOLVERTON?
Save NPI 1154006047 if you need a stable reference for ANDREW WOLVERTON.
Is ANDREW WOLVERTON active in the national directory?
ANDREW WOLVERTON's public NPI profile is in an active state.
Can you summarize ANDREW WOLVERTON's specialty in plain language?
Clinically, the directory lists ANDREW WOLVERTON with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREW WOLVERTON?
The page summarizes Atlanta, Georgia for ANDREW WOLVERTON; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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