NPI age
18 years
Enumerated 2007-10-25
● Active Type 2 · Organization
Andrada Physical Therapy, Inc
Andrada Physical Therapy, Inc is 1 of 26 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andrada
President
Last NPPES update
2013-01-10
Source: monthly bulk 2026-05
How this organization compares
Across 26 active clinic/center providers in Georgia.
NPI age
18 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3356 Vineville Ave, Ste C
MacOn, GA 312042328
Mailing address
3356 Vineville Ave, Ste C
MacOn, GA 312042328
Authorized official
Edwin Banados Andrada, PT
President
📞 4784057010
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Preston Delaperriere, M.D. Anesthesiology NPI 1699756361
- Grace Duque-Dizon, M.D. Pain Medicine NPI 1306823034
- Julian Earls, M.D. Psychiatry & Neurology NPI 1033196761
- Meredith Fleenor, NP-C Nurse Practitioner NPI 1164995171
- Carlos Giron, M.D. Pain Medicine NPI 1053392068
- Hollie Holloway, FNP-C Pain Medicine NPI 1194092817
- Brande Puckett, LPTA Physical Therapy Assistant NPI 1518562669
- Chelsea Simms Nurse Practitioner NPI 1033871900
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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