KHADESHA QUAMMIE
NPI 1316662992
Physical Therapist in St Simons Is, GA
About Khadesha Quammie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHADESHA QUAMMIE (NPI 1316662992) is an individual physical therapist in St Simons Is, Georgia, licensed in Georgia (PT015644) and active in the NPI registry since October 2022.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khadesha Quammie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Khadesha Quammie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jonesboro, GA 30236
- Reassigned Medicare billing, Georgia enrollment
- 322 clinicians in this Medicare group
Winder, GA 30680
- Reassigned Medicare billing, Georgia enrollment
- Also billed through NPI 1528419751 (Georgia)
- 54 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 323 clinicians in this Medicare group
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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Khadesha Quammie's NPI number?
The NPI number for Khadesha Quammie is 1316662992. It was assigned to this individual provider in the NPPES registry on October 6, 2022.
Where is Khadesha Quammie located?
Khadesha Quammie practices at 504 Everett St, St Simons Is, GA 31522. The listed phone number is (866) 839-6979.
What is Khadesha Quammie's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Khadesha Quammie enrolled in Medicare?
Yes. Khadesha Quammie is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Khadesha Quammie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khadesha Quammie reassigns Medicare benefits to 3 organizations: Emory Physical Therapy, LLC (Jonesboro, GA), Legacy Healthcare Services, Inc. (Winder, GA) and Georgia Luna Care Physical Therapy LLC (Atlanta, 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 Khadesha Quammie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Khadesha Quammie was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.