ANTONIO T. DAVIS (MPT) – Orthopedic Physical Therapist, NPI 1477577484

ANTONIO T. DAVIS (MPT) is a healthcare provider. based in Atlanta, Georgia. specializing in Orthopedic Physical Therapist. They hold the professional credentials MPT. They hold a License No. PT007721 (GA). The NPI Number for ANTONIO T. DAVIS (MPT) is 1477577484

Main info

Male
24 Years Of Experience
Name
ANTONIO T. DAVIS (MPT)
NPI
1477577484
Phone
(770) 953-6929
Address
900 CIRCLE 75 PKWY SE
Enumeration Date
26 July 2006
Last Update Date
3 June 2014

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7709536929
Graduation Year
2002 (24 years ago)
PAC ID
6406096411
Group Practice PAC ID
4385963172
Professional Enrollment ID
I20130715000462
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

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Provider Addresses for ANTONIO T. DAVIS (MPT)

  • 900, Circle 75 Parkway Southeast, Atlanta, Cobb County, Georgia, 30339, United States

    SUITE 1700

    ATLANTA, GA 303393035

    Phone: (770) 953-6929

    Fax: (770) 953-6972

    Type: Mailing

  • 354, Newnan Crossing Bypass, Newnan, Coweta County, Georgia, 30265, United States

    SUITE 200

    NEWNAN, GA 302652323

    Phone: (770) 460-4747

    Fax: (678) 673-5102

    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: 2013-07-15

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
I20130715000462IPhysical 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 30339)

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Provider's Procedures

ANTONIO T. DAVIS (MPT) performs procedures in Orthopedic Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97001Physical therapy evaluation5250
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes49156

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: 4385963172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
-GA
Physical Medicine And RehabilitationMO
Orthopedic Surgery, Hand SurgeryFL
-GA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to ANTONIO T. DAVIS (MPT)?
NPI 1477577484 is assigned to ANTONIO T. DAVIS (MPT) under the national enumeration system.
Is ANTONIO T. DAVIS (MPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANTONIO T. DAVIS (MPT)?
The page reflects Orthopedic Physical Therapist for ANTONIO T. DAVIS (MPT). Clinical services aligned with this taxonomy classification.
What location shows for ANTONIO T. DAVIS (MPT)?
We surface Atlanta, Georgia for ANTONIO T. DAVIS (MPT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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