P Praxis·MD
● Active Type 1 · Individual

DR. Jack R. Pines III, M.D.

Physical Medicine & Rehabilitation·McDonough, GA· NPI 1568859510 · Enumerated 2015 · 11 years on NPI
Pines is 1 of 10 physical medicine & rehabilitation providers in McDonough and 1 of 489 in Georgia.
NPI age
11 years
Enumerated 2015-04-16
Primary specialty
Physical Medicine & Rehabilitation
Plus 2 subspecialties
Licensed in
GA, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 489 active physical medicine & rehabilitation providers in Georgia.

NPI age
11 years
↓ 3 yr below median (14 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
105 Regency Park Dr
McDonough, GA 302536649
📞 7705064119
Mailing address
105 Regency Park Dr
McDonough, GA 302536649
📞 7705064119

Specialties

  • Physical Medicine & Rehabilitation Primary
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    GA license #85822LA license #PGY.203100 taxonomy 208100000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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