Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Suzanne Tripp

Individual provider Physical Therapist · NPI 1205667185

Autumn Suzanne Tripp is a Physical Therapist in Private Practice in Cordele, Georgia. Qualified in 2024, 2 years ago. Practices with Southwest Georgia Rehab, Inc, a 22-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

1001 Greer St
Cordele, GA 31015-2056
Phone: (229) 207-4004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1205667185
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address997 Lois Rd, Pitts, GA 31072-6442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southwest Georgia Rehab, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cordele