AUTUMN SUZANNE TRIPP – Physical Therapist, NPI 1205667185

AUTUMN SUZANNE TRIPP is a healthcare provider. based in Pitts, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for AUTUMN SUZANNE TRIPP is 1205667185

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AUTUMN SUZANNE TRIPP
NPI
1205667185
Phone
(229) 938-0792
Address
997 LOIS RD
Enumeration Date
12 August 2024
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292739445
Graduation Year
2024 (2 years ago)
PAC ID
9234642695
Group Practice PAC ID
6204966740
Professional Enrollment ID
I20250630000385
Address ID
GA310151921CO1107XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for AUTUMN SUZANNE TRIPP

  • 997 LOIS RD

    PITTS, GA 310726442

    Phone: (229) 938-0792

    Type: Mailing

  • 1001 GREER ST

    CORDELE, GA 310152056

    Phone: (229) 207-4004

    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: 2025-06-30

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
I20250630000385IPhysical 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 31072)

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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: 6204966740View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
-GA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

How do I look up AUTUMN SUZANNE TRIPP by NPI?
Use NPI 1205667185 when you need to reference AUTUMN SUZANNE TRIPP in forms, claims, or directories.
Does this profile mean AUTUMN SUZANNE TRIPP is currently active?
Yes — AUTUMN SUZANNE TRIPP appears active in the national provider directory.
What does AUTUMN SUZANNE TRIPP treat or focus on?
Patients typically see AUTUMN SUZANNE TRIPP under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for AUTUMN SUZANNE TRIPP?
We surface Pitts, Georgia for AUTUMN SUZANNE TRIPP based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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