JILL MATHIS – Physical Therapist, NPI 1366552200

JILL MATHIS is a healthcare provider. based in Cumming, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for JILL MATHIS is 1366552200

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
JILL MATHIS
NPI
1366552200
Phone
(770) 205-3939
Address
5155 SHADY GROVE RD
Enumeration Date
30 August 2006
Last Update Date
9 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702053939
Graduation Year
1995 (31 years ago)
PAC ID
7012003353
Group Practice PAC ID
6800985417
Professional Enrollment ID
I20071017000628
Address ID
GA300407729CU540XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,899 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for JILL MATHIS

  • 5155 SHADY GROVE RD

    CUMMING, GA 300414730

    Phone: (770) 205-3939

    Type: Mailing

  • 540, Lake Center Parkway, Cumming, Forsyth County, Georgia, 30040, United States

    SUITE 107

    CUMMING, GA 300407727

    Phone: (770) 205-3939

    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: 2007-10-17

PECOS data refreshed: 2026-06-15

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
I20071017000628IPhysical 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 minutes58453$0
97140Therapy procedure using manual technique, each 15 minutes28941$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26330$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13828$0
97162Evaluation for physical therapy, typically 30 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 30041)

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Provider's Procedures

JILL MATHIS 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 THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes40557

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: 6800985417View full group profile
NameSpecialtyState
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

How is JILL MATHIS identified in CMS data?
CMS-hosted NPPES data lists JILL MATHIS with NPI 1366552200.
Is JILL MATHIS still practicing?
JILL MATHIS is currently listed as active in the public NPI registry.
What is JILL MATHIS's specialty?
The listing groups JILL MATHIS with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JILL MATHIS list a practice location?
Patients near Cumming, Georgia may find JILL MATHIS in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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