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

Jeffrey Blake Pace, DPT

Individual provider Physical Therapist · NPI 1194499541

Jeffrey Blake Pace, DPT is a Physical Therapist in Private Practice in Locust Grove, Georgia. Qualified in 2021, 5 years ago. Practices with Georgia Physical Therapy and Sports Medicine Center, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4959 Bill Gardner Pkwy Ste 109
Locust Grove, GA 30248-2915
Phone: (770) 914-9285
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT015456 (GA)

Record details

NPI number1194499541
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2021
Last updated in NPPESAugust 8, 2021
Certification dateAugust 8, 2021
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Georgia Physical Therapy And Sports Medicine Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Locust Grove