Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013092477 Deactivated / Inactive NPI Male Practitioner

Clyde Wesley Herndon , PT

Physical Therapist • Brunswick, 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.

⚠️

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, Clyde Herndon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2006
NPI Deactivation Date August 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Clyde Herndon, PT was a registered Physical Therapist practicing in Brunswick, GA. Throughout an active medical career spanning 14 years, Clyde Herndon provided care at the practice location at 106 SHOPPERS WAY until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

106 Shoppers Way
Ste G

Brunswick, GA 31525

Telephone 9122800600
Associated Practice Facility / Clinic
🏢 The Sleep Professionals, Inc. Facility NPI 1205905676

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Brunswick, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Brunswick, GA (6634 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License GA PT002875

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Laura Veal , FNP

Nurse Practitioner - Family

NPI 1225364599

Family Nurse Practitioner

Rebecca Skeen , FNP

Nurse Practitioner - Primary Care

NPI 1356122303

Family Nurse Practitioner

Janice Willis , LCSW

Social Worker - Clinical

NPI 1760499735

Licensed Clinical Social Worker

NPI 1760526362

Doctor of Optometry

Jerry Mccomis

Nurse Practitioner - Family

NPI 1790319028
Mark Wylie , FNP

Nurse Practitioner - Family

NPI 1861031023

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 17, 2020

Record deactivated on August 17, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 106 SHOPPERS WAY, STE G, BRUNSWICK, GA 31525 (Tel: 9122800600)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 357, BRUNSWICK, GA 315210357 (Tel: 9122800600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLYDE HERNDON, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #PT002875 in GA)

🟢
Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Clyde Herndon. Be the first to share your experience!

Sign in to leave a review for Clyde Herndon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013092477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Deactivation Date: August 17, 2020

Mailing Address

Po Box 357

Brunswick, GA 315210357

Phone: 9122800600

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.