LAURA D GWILLIM – Specialist, NPI 1194898288
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
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Provider Addresses for LAURA D GWILLIM
1803, Williams Street, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316022924
Phone: (229) 251-0372
Type: Mailing
North Oak Street, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316021781
Phone: (229) 245-0646
Fax: (229) 245-8946
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.
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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: 2016-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160407000451 | I | Physical Therapist In Private Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,362 | 123 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 332 | 92 | $0 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 101 | 63 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 98 | 90 | $0 |
| 97012 | Application of mechanical traction | 53 | 14 | $0 |
Insurance plans in this area (ZIP 31602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | GA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2219 | 143 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | AL | |
| Pain Management, Physical Medicine And Rehabilitation | GA | |
| Physical Therapist In Private Practice | GA | |
| C H I R O P R A C T I C | GA | |
| C H I R O P R A C T I C | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| C H I R O P R A C T I C | GA |
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