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

Madison Bazemore

Individual provider Physical Therapist · NPI 1487372249

Madison Bazemore is a Physical Therapist in Private Practice in Woodstock, Georgia. Qualified in 2022, 4 years ago. Practices with Georgia Luna Care Physical Therapy LLC, a 166-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

6884 Hickory Flat Hwy
Woodstock, GA 30188-3229
Phone: (770) 704-8244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1487372249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address6884 Hickory Flat Hwy, Woodstock, GA 30188-3229

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Georgia Luna Care Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodstock