SHAWN EDWARD HUMPHRIES (MPT) – Physical Therapist, NPI 1609873454

SHAWN EDWARD HUMPHRIES (MPT) is a healthcare provider. based in Cleveland, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 5534 (GA). The NPI Number for SHAWN EDWARD HUMPHRIES (MPT) is 1609873454

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN EDWARD HUMPHRIES (MPT)
NPI
1609873454
Phone
(404) 590-5366
Address
55 Cantrell Rd Ste 100
Enumeration Date
7 July 2005
Last Update Date
26 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702294660
Graduation Year
1991 (35 years ago)
PAC ID
3971531112
Group Practice PAC ID
9436054129
Professional Enrollment ID
I20070207000005
Address ID
GA302244235GR220XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for SHAWN EDWARD HUMPHRIES (MPT)

  • 55 Cantrell Rd Ste 100

    Cleveland, GA 305281083

    Phone: (404) 590-5366

    Type: Location

  • 2336 Wisteria Dr Ste 420

    Snellville, GA 300786160

    Phone: (404) 590-5366

    Type: Location

  • 840 Pine St Ste 880

    Macon, GA 312017525

    Phone: (404) 590-5366

    Type: Location

  • 312 Margie Dr # 800

    Warner Robins, GA 310888913

    Phone: (404) 590-5366

    Type: Location

  • 8052 ADELAIDE DR

    COLUMBUS, GA 319098031

    Phone: (706) 329-5108

    Type: Mailing

  • 252 STRICKLAND PASTURE RD

    JACKSON, GA 302334019

    Phone: (706) 329-5108

    Type: Location

  • 708, Mobley Road, Ranch Forest, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 319042419

    Phone: (706) 327-1857

    Type: Mailing

  • Taylor Court, Montgomery, Montgomery County, Alabama, 36117, United States

    MONTGOMERY, AL 361177708

    Phone: (334) 396-2110

    Type: Location

  • 6715 Taylor Ct

    Montgomery, AL 361177708

    Phone: (334) 396-2110

    Type: Location

  • 304 Jones Ave

    Waynesboro, GA 308301509

    Phone: (404) 590-5366

    Type: Location

  • 4216 Washington Rd Ste 2

    Evans, GA 308094717

    Phone: (404) 590-5366

    Type: Location

  • 1000 Hillcrest Pkwy

    Dublin, GA 310214208

    Phone: (404) 590-5366

    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: 2025-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070207000005IPhysical Therapist In Private PracticeGATBD
I20250715000180IPhysical Therapist In Private PracticePATBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study7872$0
95885Needle measurement of electrical activity in arm or leg muscles, limited study7055$0
95911Nerve conduction, 9-10 studies2626$0
95910Nerve conduction, 7-8 studies2525$0
View full utilization report →

Insurance plans in this area (ZIP 30528)

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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: 9436054129View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyTX
Internal Medicine, Interventional Radiology, Diagnostic RadiologyNE
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeGA
Diagnostic RadiologyGA
Physical Therapist In Private PracticeAL
-GA

Reviews

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Frequently asked questions

Where can patients find SHAWN EDWARD HUMPHRIES (MPT)'s NPI?
You can confirm SHAWN EDWARD HUMPHRIES (MPT) with NPI 1609873454; it appears in the national provider directory.
Is SHAWN EDWARD HUMPHRIES (MPT)'s NPI currently valid?
The extract we use shows SHAWN EDWARD HUMPHRIES (MPT) as active.
What field does SHAWN EDWARD HUMPHRIES (MPT) work in?
You can think of SHAWN EDWARD HUMPHRIES (MPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for SHAWN EDWARD HUMPHRIES (MPT)?
We surface Cleveland, Georgia for SHAWN EDWARD HUMPHRIES (MPT) based on available NPPES addresses.
Is SHAWN EDWARD HUMPHRIES (MPT) a real provider?
This page reflects official NPPES data for NPI 1609873454. Always confirm identity and privileges with the practice and licensing boards.

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