JESSICA NICHOLE HANKS (DPT) – Physical Therapist, NPI 1497022164

JESSICA NICHOLE HANKS (DPT) is a healthcare provider. based in Macon, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT010102 (GA). The NPI Number for JESSICA NICHOLE HANKS (DPT) is 1497022164

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA NICHOLE HANKS (DPT)
NPI
1497022164
Phone
Not provided
Address
128 ROSS CIR
Enumeration Date
25 November 2011
Last Update Date
25 November 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7702796200
Graduation Year
2010 (16 years ago)
PAC ID
2365932605
Group Practice PAC ID
9335159730
Professional Enrollment ID
I20251105004261
Address ID
GA30093XXXXNOXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for JESSICA NICHOLE HANKS (DPT)

  • 128 ROSS CIR

    MACON, GA 312172373

    Phone:

    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: 2025-11-05

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
I20251105004261IPhysical 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 31217)

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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: 9335159730View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Family PracticeGA
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Family PracticeSC
Internal MedicineGA
Pulmonary Disease, Internal MedicineGA
Physical Medicine And Rehabilitation, Cardiovascular Disease (Cardiology)NC
Physical Therapist In Private PracticeGA
Internal MedicineCO

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Frequently asked questions

What unique ID ties claims to JESSICA NICHOLE HANKS (DPT)?
NPI 1497022164 is assigned to JESSICA NICHOLE HANKS (DPT) under the national enumeration system.
Is JESSICA NICHOLE HANKS (DPT) active in the national directory?
JESSICA NICHOLE HANKS (DPT)'s public NPI profile is in an active state.
What field does JESSICA NICHOLE HANKS (DPT) work in?
You can think of JESSICA NICHOLE HANKS (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JESSICA NICHOLE HANKS (DPT)?
The snapshot lists Macon, Georgia for JESSICA NICHOLE HANKS (DPT); download NPPES for the complete set.
What if Macon, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.