DR. SAMUEL ARTHUR MIELCARSKI (PT) – Physical Therapist, NPI 1982620472

DR. SAMUEL ARTHUR MIELCARSKI (PT) is a healthcare provider. based in Acworth, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT005716 (GA). The NPI Number for DR. SAMUEL ARTHUR MIELCARSKI (PT) is 1982620472

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL ARTHUR MIELCARSKI (PT)
NPI
1982620472
Phone
(678) 214-0100
Address
5505 BELLS FERRY RD
Enumeration Date
15 July 2006
Last Update Date
18 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707168885
Graduation Year
1997 (29 years ago)
PAC ID
5193062156
Group Practice PAC ID
6406853415
Professional Enrollment ID
I20190129001640
Address ID
GA302147636FA500XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for DR. SAMUEL ARTHUR MIELCARSKI (PT)

  • 5505 BELLS FERRY RD

    SUITE 240

    ACWORTH, GA 30102

    Phone: (678) 214-0100

    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: 2019-01-29

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
I20190129001640IPhysical 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 minutes67825$0
97533Therapy procedure using sensory experiences48619$0
97535Training for self-care or home management, each 15 minutes44625$0
97140Therapy procedure using manual technique, each 15 minutes43125$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38523$0
View full utilization report →

Insurance plans in this area (ZIP 30102)

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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: 6406853415View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I cross-check DR. SAMUEL ARTHUR MIELCARSKI (PT) using NPI 1982620472?
NPI 1982620472 belongs to DR. SAMUEL ARTHUR MIELCARSKI (PT); compare other details if you need extra assurance.
Would DR. SAMUEL ARTHUR MIELCARSKI (PT) appear as active to a payer?
You can treat DR. SAMUEL ARTHUR MIELCARSKI (PT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. SAMUEL ARTHUR MIELCARSKI (PT)?
DR. SAMUEL ARTHUR MIELCARSKI (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL ARTHUR MIELCARSKI (PT) located near Acworth?
DR. SAMUEL ARTHUR MIELCARSKI (PT) currently maps to Acworth, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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