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Deactivated NPI 1679825822 Deactivated / Inactive NPI Female Practitioner

Jackie King , R, PT

Physical Therapist • Augusta, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jackie King has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2012
NPI Deactivation Date March 27, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Jackie King, R, PT was a registered Physical Therapist practicing in Augusta, GA. Throughout an active medical career spanning 13 years, Jackie King provided care at the practice location at 3712 EXECUTIVE CENTER DR until profile deactivation on 2025-03-27.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, evaluation of physical therapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3712 Executive Center Dr

Augusta, GA 309075095

Telephone 7068697495
Fax 7068697497
Associated Practice Facility / Clinic
🏢 Health Success, Inc. Facility NPI 1740325893

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
184 Specialists

Practicing in Augusta, GA (6634 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
305 15 $40.00 $22.30
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
105 12 $42.00 $27.96
97161 Evaluation of physical therapy, typically 20 minutes
13 12 $100.00 $93.39

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License GA PT001809

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active October 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 12, 2012

Registered at 3712 EXECUTIVE CENTER DR, AUGUSTA, GA 309075095 (Tel: 7068697495)

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Updated Business Mailing Address October 12, 2012

Registered at 3712 EXECUTIVE CENTER DR, AUGUSTA, GA 309075095 (Tel: 7068697495)

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Provider Name / Credentials Updated October 12, 2012

Recorded as JACKIE KING, R,P.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2012

Physical Therapist (License #PT001809 in GA)

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Initial NPI Registration & Enumeration October 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679825822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2012
Last Update: October 12, 2012
Deactivation Date: March 27, 2025

Mailing Address

3712 Executive Center Dr

Augusta, GA 309075095

Phone: 7068697495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.