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DR. NEIL JACOB HALTOM PT, DPT
NPI 1306493812
Physical Therapist - Electrophysiology, Clinical in Evans, GA

Active since August 20, 2019
4216 WASHINGTON RD STE 2, EVANS, GA 30809(470) 809-1581 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Mar 4, 2021, Aug 20, 2019 (3 updates tracked since 2019).

About Dr. Neil Jacob Haltom Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NEIL JACOB HALTOM PT, DPT (NPI 1306493812) is an individual electrophysiology, clinical provider in Evans, Georgia, licensed in Georgia (PT015162) and active in the NPI registry since August 2019. He maintains 6 additional practice locations.

NPPES Registry Identity

NPI1306493812
Entity TypeIndividualMale
Primary Taxonomy2251E1300X
Provider Legal NameDR. NEIL JACOB HALTOMCredential: PT, DPT
Location Address4216 WASHINGTON RD STE 2Evans, GA 30809-4717
Mailing Address2336 Wisteria Dr Ste 420Snellville, GA 30078-6160 · (404) 590-5366 · Fax (770) 982-0015
Phone(470) 809-1581
Sole ProprietorYes
Enumeration DateAugust 20, 2019
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1306493812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251E1300X
Licenses✔ Licensed in GA · PT015162✔ Licensed in PA · CP049459T
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
Also ListedPhysical TherapistTaxonomy 225100000X · License 05013487A (IN)
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License PT015162 (GA)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT015162 (GA)
4216 WASHINGTON RD STE 2, Evans, GA 30809
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Secondary Practice Locations 6

Location 14372 Route 6Kane, PA 16735-3060 · Phone (412) 787-3293
Location 2116 Interstate PkwyBradford, PA 16701-1036 · Phone (412) 787-3293
Location 31095 Million Dollar HwySaint Marys, PA 15857-2726 · Phone (412) 787-3293
Location 4140 Johnny Mercer Blvd Ste 10ASavannah, GA 31410-2169 · Phone (470) 809-1581
Location 5300 Jones AveWaynesboro, GA 30830-1509 · Phone (470) 809-1581
Location 61000 Hillcrest PkwyDublin, GA 31021-4208 · Phone (470) 809-1581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Neil Jacob Haltom Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Neil Haltom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optim Orthopedics LLC
38 mi
Orthopaedic Surgery
120 GORDON ST
Washington, GA 30673
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1285134676 (706) 678-9334
Physical Therapy Pros, LLC
123 mi
Electrophysiology, Clinical
140 JOHNNY MERCER BLVD STE 10A
Savannah, GA 31410
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1609207885 (404) 590-5366
Columbus Diagnostic Center Inc
177 mi
Diagnostic Radiology
7500 VETERANS PKWY STE B
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
NPI 1598081093 (706) 323-7622

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANDREA WHITE
Behavior Technician
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (762) 222-7629
SHANTE GRANT
Behavior Technician
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (762) 222-7629
DEMARIO CHILDS
Behavior Technician
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (762) 222-7629
AUSTIN HAMILTON RAMOS PT
Physical Therapist
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (706) 814-5460
MICHELLE ANDERSON
Behavior Technician
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (762) 222-7629
JORDYN RODGERS
Behavior Technician
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (762) 222-7629
QUEST HEALTH & REHAB LLC
Physical Therapist
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (706) 814-5460
DR. JACQUES L BEAUCHAMP PT,DPT,SCS,OCS,ATC
Physical Therapist
4216 WASHINGTON RD STE 2
EVANS, GA 30809
Columbia County (706) 814-5460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neil Haltom's NPI number?

The NPI number for Neil Haltom is 1306493812. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Neil Haltom located?

Neil Haltom practices at 4216 Washington Rd Ste 2, Evans, GA 30809. The listed phone number is (470) 809-1581.

What is Neil Haltom's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

Is Neil Haltom enrolled in Medicare?

Yes. Neil Haltom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Neil Haltom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Haltom reassigns Medicare benefits to 3 organizations: Optim Orthopedics LLC (Washington, GA), Physical Therapy Pros, LLC (Savannah, GA) and Columbus Diagnostic Center Inc (Columbus, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neil Haltom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Haltom accept?

Health plans from CareSource and Oscar Health list Neil Haltom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Neil Haltom was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.