Jill K Mathis (NPI# 1366552200, PAC ID# 7012003353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1366552200 |
| PAC ID by PECOS | 7012003353 |
| Professional Enrollment ID | I20071017000628 |
| Full Name | Jill K Mathis |
| Organization Legal Name | CHAMPION PHYSICAL THERAPY LLC |
| Address |
540 Lake Ctr Pkwy Suite 107 Cumming GA 30040-7729 |
| Phone Number | 7702053939 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6800985417 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 540 Lake Ctr Pkwy, Suite 107, Cumming, GA 30040-7729 | 7702053939 | CHAMPION PHYSICAL THERAPY LLC |
| Organization Legal Name | CHAMPION PHYSICAL THERAPY LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Borger | Physical Therapy | Champion Physical Therapy LLC | 540 Lake Ctr Pkwy, Suite 107, Cumming, GA 30040-7729 |
| Scott D Edwards | Physical Therapy | Champion Physical Therapy LLC | 1125 E Morris Blvd, Morristown, TN 37813-5902 |
| Michael T Mccloud | Physical Therapy | Champion Physical Therapy LLC | 4307 N Roan St, Suite 7, Johnson City, TN 37615-4973 |
| Brittney Dpt Everhart | Physical Therapy | Champion Physical Therapy LLC | 121 N Calderwood St, Alcoa, TN 37701-2109 |
| Holly Whitt | Physical Therapy | Champion Physical Therapy LLC | 1159 Volunteer Pkwy, Bristol, TN 37620-4683 |
| Charles Peters Iii | Physical Therapy | Champion Physical Therapy LLC | 420 Railroad St, Elizabethton, TN 37643-2504 |
| Lauren D. Levko | Physical Therapy | Champion Physical Therapy LLC | 109 Sugarfoot Way, Suite 5, Pigeon Forge, TN 37863-6204 |
| Timothy S Butcher | Physical Therapy | Champion Physical Therapy LLC | 7228 Norris Fwy, Knoxville, TN 37918-5744 |
| Matthew L Foltz | Physical Therapy | Champion Physical Therapy LLC | 5530 Windward Pkwy, Suite 325, Alpharetta, GA 30004-8968 |
| Ellen F Welch | Physical Therapy | Champion Physical Therapy LLC | 540 Lake Ctr Pkwy, Suite 107, Cumming, GA 30040-7729 |
| Street Address |
540 LAKE CTR PKWY SUITE 107 |
| City | CUMMING |
| State | GA |
| Zip | 30040-7729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Borger | Physical Therapy | Champion Physical Therapy LLC | 540 Lake Ctr Pkwy, Suite 107, Cumming, GA 30040-7729 |
| Ellen F Welch | Physical Therapy | Champion Physical Therapy LLC | 540 Lake Ctr Pkwy, Suite 107, Cumming, GA 30040-7729 |
| Cynthia R Wheeler | Physical Therapy | Champion Physical Therapy LLC | 540 Lake Ctr Pkwy, Suite 107, Cumming, GA 30040-7729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Weber | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
| Courtney Whitehead | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Gilberte Bastien | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Lindsey C Bustamante | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Sondy Cadeau | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Allyson Cole C Baker | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Jessica L Styles | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Christopher M Brooks | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
| Christopher Steven Blanchard | Orthopedic Surgery | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
| Find all physicians in zip 30040 | |||
| City | CUMMING |
| Zip Code | 30040 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CUMMING + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.