NICOLE CALKINS MCDONALD PT, DPT
NPI 1427469865
Physical Therapist in Richmond Hill, GA

Active since May 19, 2014Accepts Medicare Assignment
60 EXCHANGE ST STE B4, RICHMOND HILL, GA 31324(912) 459-0072(912) 459-0511 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Aug 29, 2017 (2 updates tracked since 2017).

About Nicole Calkins Mcdonald Pt, Dpt NPPES

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

NICOLE CALKINS MCDONALD PT, DPT (NPI 1427469865) is an individual physical therapist in Richmond Hill, Georgia, licensed in Georgia (PT011499) and active in the NPI registry since May 2014. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1427469865
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE CALKINS MCDONALDCredential: PT, DPT
Location Address60 EXCHANGE ST STE B4Richmond Hill, GA 31324-7646
Mailing Address6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564 · (423) 238-7217 · Fax (423) 362-8684
Fax(912) 459-0511
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1427469865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in GA · PT011499 Licensed in MO · 2014024675 Licensed in NC · 14999 Licensed in LA · 08897R Licensed in TN · 10172 Licensed in AL · PTH7170 Licensed in OH · PT.014735
Definition

Physical 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 to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

60 EXCHANGE ST STE B4, Richmond Hill, GA 31324

Other Names 1

Former Name (1)Nicole Anne Calkins

Other Identifiers 10

Other511-51008AL · Bcbs-hoover
Other511-51009AL · Bcbs-chelsea
Other361704YWWBLA · Medicare Ptan
OtherMA4370087MO · Medicare Ptan
Other361704YUZ5LA · Medicare Ptan
Other511-51011AL · Bcbs-west Madison
Other102I656584AL · Medicare Ptan
Other511-50774AL · Bcbs-athens
Other511-51010AL · Bcbs-moody
OtherUSES NPILA · Bcbs-la

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Calkins Mcdonald Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779709829
PECOS Enrollment IDI20141112001213

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
119 services57 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
102 services57 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
98 services60 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
53 services41 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
38 services29 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%44 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
60 EXCHANGE ST STE B4
RICHMOND HILL, GA 31324
Physical Therapist
60 EXCHANGE ST STE B4
RICHMOND HILL, GA 31324
Physical Therapist
60 EXCHANGE ST STE B4
RICHMOND HILL, GA 31324
Physical Therapist
60 EXCHANGE ST STE B4
RICHMOND HILL, GA 31324

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 Nicole Mcdonald's NPI number?

The NPI number for Nicole Mcdonald is 1427469865. It was assigned to this individual provider in the NPPES registry on May 19, 2014. The provider is also known as Nicole Anne Calkins.

Where is Nicole Mcdonald located?

Nicole Mcdonald practices at 60 Exchange St Ste B4, Richmond Hill, GA 31324. The listed phone number is (912) 459-0072.

What is Nicole Mcdonald's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicole Mcdonald enrolled in Medicare?

Yes. Nicole Mcdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Mcdonald accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Nicole Mcdonald 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 Nicole Mcdonald was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.