JOHN D WILLIAMS (P.T.) – Physical Therapist, NPI 1902860992

JOHN D WILLIAMS (P.T.) is a healthcare provider. based in Villa rica, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 003736 (GA). The NPI Number for JOHN D WILLIAMS (P.T.) is 1902860992

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D WILLIAMS (P.T.)
NPI
1902860992
Phone
(770) 459-4555
Address
690 DALLAS HWY STE 203
Enumeration Date
14 April 2006
Last Update Date
29 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709498558
Graduation Year
1992 (34 years ago)
PAC ID
7517307077
Group Practice PAC ID
4385963172
Professional Enrollment ID
I20240501000229
Address ID
GA301351849DO2976XRDXX401
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 JOHN D WILLIAMS (P.T.)

  • 203, Dallas Highway, Villa Rica, Carroll County, Georgia, 30180, United States

    VILLA RICA, GA 301801263

    Phone: (770) 459-4555

    Fax: (770) 459-2550

    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: 2024-05-01

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
I20240501000229IPhysical 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 30180)

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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: 4385963172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
-GA
Physical Medicine And RehabilitationMO
Orthopedic Surgery, Hand SurgeryFL
-GA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
-GA

Reviews

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Frequently asked questions

What number should I use to identify JOHN D WILLIAMS (P.T.) for billing?
Administrative and clinical systems typically use NPI 1902860992 for JOHN D WILLIAMS (P.T.).
Is JOHN D WILLIAMS (P.T.)'s NPI status active today?
Active status means JOHN D WILLIAMS (P.T.)'s NPI record is not deactivated in the public file.
What type of care does JOHN D WILLIAMS (P.T.) provide?
JOHN D WILLIAMS (P.T.)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit JOHN D WILLIAMS (P.T.) in Villa Rica, Georgia?
For routing, start with Villa Rica, Georgia for JOHN D WILLIAMS (P.T.), then verify phone and hours locally.
Why is information missing for JOHN D WILLIAMS (P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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