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

Charles Michael Clevenger, PT

Individual provider Physical Therapist · NPI 1760850655

Charles Michael Clevenger, PT is a Physical Therapist in Private Practice in Hiram, Georgia. Qualified in 2014, 12 years ago. Practices with Pinnacle Orthopaedics and Sports Medicine Specialists LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

144 Bill Carruth Pkwy Ste 4700
Hiram, GA 30141-3818
Phone: (678) 453-5717
Fax: (770) 738-5476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT012150 (GA)

Record details

NPI number1760850655
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 21, 2016
Mailing address5886 Brookstone Walk Nw, Acworth, GA 30101-8475

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pinnacle Orthopaedics And Sports Medicine Specialists Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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