Jonathan Shaw, - Medicare Physical Therapist in Acworth, GA

Jonathan Shaw, is a medicare enrolled "Physical Therapist" provider in Acworth, Georgia. His current practice location is 3950 Cobb Pkwy Nw, Suite 703, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 917-0924.

Jonathan Shaw is licensed to practice in Georgia (license number PTH009094) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073709143.

Contact Information

Jonathan Shaw,
3950 Cobb Pkwy Nw, Suite 703,
Acworth, GA 30101-9532
(770) 917-0924
(770) 917-0926

Map and Direction




Healthcare Provider's Profile

Full NameJonathan Shaw
GenderMale
SpecialityPhysical Therapist
Location3950 Cobb Pkwy Nw, Acworth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073709143
  • Provider Enumeration Date: 09/21/2007
  • Last Update Date: 06/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4789767021
  • Enrollment ID: I20080211000328

Medical Identifiers

Medical identifiers for Jonathan Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073709143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PTH009094 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan Shaw allows following entities to bill medicare on his behalf.
Provider NameEmory Physical Therapy, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922018423
PECOS PAC ID: 1153382676
Enrollment ID: O20041019000776
Provider NameWellstar Health Ventures, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932486131
PECOS PAC ID: 1456527878
Enrollment ID: O20120105000563

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jonathan Shaw,
Po Box 242278,
Montgomery, AL 36124-2278

Ph: (334) 396-2110
Jonathan Shaw,
3950 Cobb Pkwy Nw, Suite 703,
Acworth, GA 30101-9532

Ph: (770) 917-0924

Reviews and Comments


Physical Therapist in Acworth, GA

Justin Desandre,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101
Phone: 770-917-0924    
Mrs. Karissa Tippens, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101
Phone: 678-501-6300    Fax: 678-384-3318
Jenna Dreyer,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101
Phone: 770-917-0924    Fax: 770-917-0926
Mr. Justin Taylor Gorrell, D.P.T
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101
Phone: 678-501-6300    Fax: 678-384-3318
Miss Erin Christine Golden, D.P.T
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101
Phone: 770-917-0924    Fax: 770-917-0926
Mrs. Cynthia Lyn Goldberg, P.T., A.T., C
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1311 Benbrooke Ln Nw, Acworth, GA 30101
Phone: 678-358-4328    Fax: 267-321-2546

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.