NPI age
17 years
Enumerated 2009-02-15
● Active
Type 1 · Individual
Shanavorn Deaundra McMullen, PT
McMullen is 1 of 28 physical therapist providers in Milledgeville and 1 of 7225 in Georgia.
Primary specialty
Physical Therapist
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-02-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7225 active physical therapist providers in Georgia.
NPI age
17 years
↑ 7 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Practice location
115 Commodore Dr Nw
Milledgeville, GA 310618211
Mailing address
115 Commodore Dr Nw
Milledgeville, GA 310618211
Specialties
-
Physical Therapist PrimaryPhysical 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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