MRS. AUDREY D. JERNIGAN – Physical Therapist, NPI 1245363688

MRS. AUDREY D. JERNIGAN is a healthcare provider. based in Waycross, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT001243 (GA). The NPI Number for MRS. AUDREY D. JERNIGAN is 1245363688

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AUDREY D. JERNIGAN
NPI
1245363688
Phone
(912) 285-2361
Address
301 PINEVIEW DR
Enumeration Date
14 March 2007
Last Update Date
3 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125592071
Graduation Year
1985 (41 years ago)
PAC ID
7719057835
Group Practice PAC ID
1658415054
Professional Enrollment ID
I20080602000477
Address ID
GA315450244JE360XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MRS. AUDREY D. JERNIGAN

  • 301 PINEVIEW DR

    WAYCROSS, GA 315015229

    Phone: (912) 285-2361

    Fax: (912) 285-0571

    Type: Mailing

  • 301 PINEVIEW DR.

    WAYCROSS, GA 31501

    Phone: (912) 285-2361

    Fax: (912) 285-0571

    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: 2008-06-02

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
I20080602000477IPhysical 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 minutes59252$0
97140Therapy procedure using manual technique, each 15 minutes21629$0
97530Therapy procedure using functional activities8618$0
97161Evaluation for physical therapy, typically 20 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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Provider's Procedures

MRS. AUDREY D. JERNIGAN 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 minutes2300137

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: 1658415054View full group profile
NameSpecialtyState
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

Can I verify MRS. AUDREY D. JERNIGAN with an NPI only?
You can start verification with NPI 1245363688 for MRS. AUDREY D. JERNIGAN, then check state licensing separately.
Can I rely on MRS. AUDREY D. JERNIGAN being an active provider?
As of the registry snapshot, MRS. AUDREY D. JERNIGAN is marked active.
What is MRS. AUDREY D. JERNIGAN's primary classification?
Physical Therapist is the headline specialty for MRS. AUDREY D. JERNIGAN here. Clinical services aligned with this taxonomy classification.
Does MRS. AUDREY D. JERNIGAN list a practice location?
Patients near Waycross, Georgia may find MRS. AUDREY D. JERNIGAN in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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