MR. CECIL M. III ANDERSON (P.T.) – Physical Therapist, NPI 1568412369

MR. CECIL M. III ANDERSON (P.T.) is a healthcare provider. based in Decatur, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 2841 (GA). The NPI Number for MR. CECIL M. III ANDERSON (P.T.) is 1568412369

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. CECIL M. III ANDERSON (P.T.)
NPI
1568412369
Phone
(404) 297-9315
Address
487 WINN WAY
Enumeration Date
11 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4042979315
Graduation Year
1989 (37 years ago)
PAC ID
9931374667
Professional Enrollment ID
I20111208000354
Address ID
GA300301728DE487XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for MR. CECIL M. III ANDERSON (P.T.)

  • Winn Way, Decatur, DeKalb County, Georgia, 30030, United States

    SUITE 201

    DECATUR, GA 300301735

    Phone: (404) 297-9315

    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: 2011-12-08

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
I20111208000354IPhysical 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 minutes1,56873$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,11273$0
97140Therapy procedure using manual technique, each 15 minutes1,09873$0
97116Therapy procedure for walking training, each 15 minutes74258$0
97530Therapy procedure using functional activities58453$0
View full utilization report →

Insurance plans in this area (ZIP 30030)

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Provider's Procedures

MR. CECIL M. III ANDERSON (P.T.) 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 minutes194686

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Frequently asked questions

What NPI should I save for MR. CECIL M. III ANDERSON (P.T.)?
Save NPI 1568412369 if you need a stable reference for MR. CECIL M. III ANDERSON (P.T.).
Is MR. CECIL M. III ANDERSON (P.T.) currently active in the NPI registry?
CMS-published data lists MR. CECIL M. III ANDERSON (P.T.) as an active registrant.
What field does MR. CECIL M. III ANDERSON (P.T.) work in?
You can think of MR. CECIL M. III ANDERSON (P.T.) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. CECIL M. III ANDERSON (P.T.)?
The page summarizes Decatur, Georgia for MR. CECIL M. III ANDERSON (P.T.); expand the address list for detail.
How can I contact MR. CECIL M. III ANDERSON (P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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