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MR. JEDD ALAN THORDERSON PT
NPI 1972790822
Physical Therapist - Electrophysiology, Clinical in Valdosta, GA

Active since September 25, 2007Accepts Medicare Assignment
4340 KINGS WAY, VALDOSTA, GA 31602(229) 333-9736 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Sep 17, 2024 (2 updates tracked since 2024).

About Mr. Jedd Alan Thorderson Pt NPPES

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

MR. JEDD ALAN THORDERSON PT (NPI 1972790822) is an individual electrophysiology, clinical provider in Valdosta, Georgia, licensed in Georgia (PT007933) and active in the NPI registry since September 2007. He maintains 2 additional practice locations and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972790822
Entity TypeIndividualMale
Primary Taxonomy2251E1300X
Provider Legal NameMR. JEDD ALAN THORDERSONCredential: PT
Location Address4340 KINGS WAYValdosta, GA 31602-6921
Mailing AddressPo Box 370Fortson, GA 31808-0370 · (706) 494-3171
Phone(229) 333-9736
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 25, 2007
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1972790822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251E1300X
License✔ Licensed in GA · PT007933
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 PT007933 (GA)
4340 KINGS WAY, Valdosta, GA 31602
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Secondary Practice Locations 2

Location 13437 Tupelo Commons, Suite 102Tupelo, MS 38804-9791 · Phone (662) 680-3200 · Fax (662) 680-5090
Location 2110 Professional CtJesup, GA 31545-0044 · Phone (912) 427-0800

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

Mr. Jedd Alan Thorderson Pt 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 ID7911997051
PECOS Enrollment IDI20040512001242, I20240925002754, I20241105003956

Other Providers at the Same Location NPPES 12

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

HUGHSTON CLINIC, P.C.
Durable Medical Equipment & Medical Supplies
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
MR. NATHAN KELLY ROBERSON NP-C
Nurse Practitioner
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
SHANNON F BURTON LAT, ATC
Specialist/Technologist (Athletic Trainer)
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
HUGHSTON MEDICAL GROUP, PC
Durable Medical Equipment & Medical Supplies
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
RACHEL TERAE CRONK NP
Nurse Practitioner
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
DR. DAWSON LEHMAN DPT
Physical Therapist
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
MR. AARON SCOTT COURINGTON APRN
Nurse Practitioner (Family)
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736
ROBERT WILLIAM ROETHEL PA
Physician Assistant (Surgical)
4340 KINGS WAY
VALDOSTA, GA 31602
Lowndes County (229) 333-9736

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 Jedd Thorderson's NPI number?

The NPI number for Jedd Thorderson is 1972790822. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Jedd Thorderson located?

Jedd Thorderson practices at 4340 Kings Way, Valdosta, GA 31602. The listed phone number is (229) 333-9736.

What is Jedd Thorderson's specialty?

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

Is Jedd Thorderson enrolled in Medicare?

Yes. Jedd Thorderson 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.

When was this NPI record last updated?

The NPPES record for Jedd Thorderson was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.