James Daniel Stout, DPT | |
102 Hines Rd Ne, Ste 3, Calhoun, GA 30701-9374 | |
(706) 602-9655 | |
(706) 602-9676 |
Full Name | James Daniel Stout |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 102 Hines Rd Ne, Calhoun, 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 |
---|---|---|---|
1306218177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011895 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Swallowing Diagnostics | 7719239359 | 17 |
Provider Name | Southeastern Swallowing Diagnostics |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205377348 PECOS PAC ID: 7719239359 Enrollment ID: O20181031000891 |
Mailing Address | Practice Location Address |
---|---|
James Daniel Stout, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | James Daniel Stout, DPT 102 Hines Rd Ne, Ste 3, Calhoun, GA 30701-9374 Ph: (706) 602-9655 |
Andrea Nicole Henry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Hines Rd Ne Ste 3, Calhoun, GA 30701 Phone: 706-602-9566 Fax: 706-602-9676 | |
Julie E'lane Harmon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Timms Rd Ne, Calhoun, GA 30701 Phone: 706-625-0022 Fax: 706-625-8586 | |
Kylie Mae Woodard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 W Belmont Dr, Suite 12, Calhoun, GA 30701 Phone: 706-625-0662 Fax: 706-625-0582 | |
Annette L. Jones, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 S Wall St, Calhoun, GA 30701 Phone: 706-624-3000 Fax: 706-624-3001 | |
Andrew Lee Sorensen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 136 W Belmont Dr Ste 12, Calhoun, GA 30701 Phone: 706-625-0662 Fax: 706-625-0582 | |
Kathryn Elemento, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 S Wall St, Calhoun, GA 30701 Phone: 706-624-3000 Fax: 706-624-3001 | |
Matthew Eller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 Hines Rd Ne Ste E, Calhoun, GA 30701 Phone: 706-602-9655 Fax: 706-602-9676 |