SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) – Physical Therapist, NPI 1750522553

SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) is a healthcare provider. based in Waycross, Georgia. specializing in Physical Therapist. They hold the professional credentials PT, DPT, ATC, MTC. They hold a License No. PT009555 (GA). The NPI Number for SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) is 1750522553

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC)
NPI
1750522553
Phone
(912) 285-1927
Address
2267 Memorial Dr Ste 300
Enumeration Date
9 March 2009
Last Update Date
18 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122622151
Graduation Year
2008 (18 years ago)
PAC ID
6507910171
Group Practice PAC ID
2961312244
Professional Enrollment ID
I20090817000206
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

Provider Addresses for SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC)

  • 2267 Memorial Dr Ste 300

    Waycross, GA 315010902

    Phone: (912) 285-1927

    Fax: (912) 285-1929

    Type: Location

  • Corporate Drive, Shoal Run, Hoover, Shelby County, Alabama, 35242, United States

    HOOVER, AL 352425424

    Phone: (423) 238-7217

    Fax: (423) 238-3473

    Type: Mailing

  • 303, South Wayne Street, Alma, Bacon County, Georgia, 31510, United States

    ALMA, GA 315102921

    Phone: (912) 632-5824

    Fax: (912) 632-5894

    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: 2009-08-17

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
I20090817000206IPhysical 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 minutes1,14362$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79358$0
97530Therapy procedure using functional activities66170$0
97140Therapy procedure using manual technique, each 15 minutes50851$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care31839$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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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: 2961312244View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) in U.S. healthcare records?
The official identifier for SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) is NPI 1750522553.
Is SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) still an active registrant?
SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) carries an active NPI according to the public dataset.
What expertise is attributed to SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC)?
SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) located near Waycross?
SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC) currently maps to Waycross, Georgia in this extract.
Can I trust this NPI listing for SHIRA DIXON MEDDERS (PT, DPT, ATC, MTC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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