ASHLEY FAIRCLOTH (OTR/L) – Occupational Therapist, NPI 1770018434
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
487 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for ASHLEY FAIRCLOTH (OTR/L)
PO BOX 6317
MACON, GA 312086317
Phone:
Type: Mailing
1765 Old West Broad St
Athens, GA 306062853
Phone: (706) 549-1663
Fax: (706) 546-8792
Type: Location
3708, Northside Drive, McKibben Lane, Macon, Bibb County, Georgia, 31210, United States
MACON, GA 312102404
Phone: (478) 745-4206
Type: Location
1000 COWLES CLINC WAY STE A-400
GREENSBORO, GA 306425289
Phone: (706) 549-1663
Fax: (706) 546-8792
Type: Location
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 306062887
Phone: (706) 549-1663
Fax: (706) 546-8792
Type: Mailing
1031 LAKE COUNTRY DR
GREENSBORO, GA 306425157
Phone: (706) 549-1663
Fax: (706) 546-8792
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: 2017-06-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170606002136 | I | Occupational Therapist In Private Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 720 | 65 | $0 |
| 97530 | Therapy procedure using functional activities | 605 | 41 | $0 |
| 97022 | Application of whirlpool therapy | 260 | 33 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 151 | 36 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 61 | 59 | $0 |
Insurance plans in this area (ZIP 31208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Occupational Therapist In Private Practice | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | GA | |
| - | IL | |
| - | GA |
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