Charles Michael Clevenger, PT | |
144 Bill Carruth Pkwy, Suite 4700, Hiram, GA 30141-3818 | |
(678) 453-5717 | |
(770) 738-5476 |
Full Name | Charles Michael Clevenger |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 144 Bill Carruth Pkwy, Hiram, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760850655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT012150 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Orthopaedics And Sports Medicine Specialists Llc | 6204723216 | 42 |
Provider Name | Pinnacle Orthopaedics & Sports Medicine Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194815175 PECOS PAC ID: 6204723216 Enrollment ID: O20040303001053 |
Mailing Address | Practice Location Address |
---|---|
Charles Michael Clevenger, PT 5886 Brookstone Walk Nw, Acworth, GA 30101-8475 Ph: (770) 499-9118 | Charles Michael Clevenger, PT 144 Bill Carruth Pkwy, Suite 4700, Hiram, GA 30141-3818 Ph: (678) 453-5717 |
Katherine Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 76 Highland Pavilion Ct, Suite185, Hiram, GA 30141 Phone: 770-384-0844 | |
Ms. Judy Ozeryansky, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Bill Carruth Pkwy, Suite 120, Hiram, GA 30141 Phone: 770-443-7136 Fax: 770-443-7153 | |
Chanda J Hadley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3827 Jimmy Lee Smith Pkwy, Suite 122, Hiram, GA 30141 Phone: 770-943-1142 Fax: 770-943-6021 | |
Dr. Carlos E Morgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 356 Hiram Way, Hiram, GA 30141 Phone: 678-823-5349 | |
Olivia Terrell, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 68 Breezy Valley Connector, Hiram, GA 30141 Phone: 828-393-5168 Fax: 865-951-7273 | |
Dr. Jonathan Michael Gill, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 3827 Jimmy Lee Smith Pkwy # 22, Hiram, GA 30141 Phone: 770-943-1142 | |
Taryn Elaine Hand, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Bill Carruth Parkway, Suite 160, Hiram, GA 30141 Phone: 470-956-8990 Fax: 770-443-7590 |