DAVID LEE FAIRCLOTH (DPT) – Physical Therapist, NPI 1477235026

DAVID LEE FAIRCLOTH (DPT) is a healthcare provider. based in Perry, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT016728 (GA). The NPI Number for DAVID LEE FAIRCLOTH (DPT) is 1477235026

Main info

Male
3 Years Of Experience
Name
DAVID LEE FAIRCLOTH (DPT)
NPI
1477235026
Phone
(478) 987-4600
Address
1306 MACON RD
Enumeration Date
3 August 2023
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789874600
Graduation Year
2023 (3 years ago)
PAC ID
5496117715
Group Practice PAC ID
2062799653
Professional Enrollment ID
I20230817001720
Address ID
GA310692652PE1306XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for DAVID LEE FAIRCLOTH (DPT)

  • 1306 MACON RD

    PERRY, GA 310692652

    Phone: (478) 987-4600

    Mailing address matches the actual address.

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: 2023-08-17

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
I20230817001720IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36631$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30930$0
97140Therapy procedure using manual technique, each 15 minutes10017$0
97150Therapy procedure in a group setting5117$0
97162Evaluation for physical therapy, typically 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 31069)

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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: 2062799653View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID LEE FAIRCLOTH (DPT)'s NPI?
Yes. DAVID LEE FAIRCLOTH (DPT) is listed with NPI 1477235026 in the public NPI dataset.
Does the file indicate DAVID LEE FAIRCLOTH (DPT) is practicing under active NPI?
Directory data currently reports DAVID LEE FAIRCLOTH (DPT) as active.
What is DAVID LEE FAIRCLOTH (DPT)'s specialty?
The listing groups DAVID LEE FAIRCLOTH (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does DAVID LEE FAIRCLOTH (DPT) list a practice location?
Patients near Perry, Georgia may find DAVID LEE FAIRCLOTH (DPT) 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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