MRS. CAROL ANN COLLICA (P.T.) – Physical Therapist, NPI 1194898825

MRS. CAROL ANN COLLICA (P.T.) is a healthcare provider. based in Grovetown, Georgia. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. PT004494 (GA). The NPI Number for MRS. CAROL ANN COLLICA (P.T.) is 1194898825

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROL ANN COLLICA (P.T.)
NPI
1194898825
Phone
(706) 868-6543
Address
444 PARK WEST DRIVE
Enumeration Date
17 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7067361255
Graduation Year
1981 (45 years ago)
PAC ID
5496975161
Group Practice PAC ID
5092971242
Professional Enrollment ID
I20140930002617
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MRS. CAROL ANN COLLICA (P.T.)

  • 444 PARK WEST DRIVE

    GROVETOWN, GA 30813

    Phone: (706) 868-6543

    Fax: (706) 868-9579

    Type: Location

  • 483, Old Walnut Bridge, North Augusta, Aiken County, South Carolina, 29860, United States

    NORTH AUGUSTA, SC 298608662

    Phone: (803) 441-8291

    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: 2014-09-30

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
I20140930002617IPhysical 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 30813)

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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: 5092971242View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-GA
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I verify MRS. CAROL ANN COLLICA (P.T.) with an NPI only?
You can start verification with NPI 1194898825 for MRS. CAROL ANN COLLICA (P.T.), then check state licensing separately.
Does CMS list MRS. CAROL ANN COLLICA (P.T.) as active?
Yes — MRS. CAROL ANN COLLICA (P.T.) is active in the NPI listing used on this page.
What is MRS. CAROL ANN COLLICA (P.T.) best known for clinically?
Directory data describes MRS. CAROL ANN COLLICA (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MRS. CAROL ANN COLLICA (P.T.) based?
MRS. CAROL ANN COLLICA (P.T.) is tied to Grovetown, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about MRS. CAROL ANN COLLICA (P.T.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."