Charles Michael Clevenger, PT
NPI 1760850655ActiveIndividual· Physical Therapist· Hiram, GA
Physical Therapist (PT) with Pinnacle Orthopaedics and Sports Medicine Specialists LLC, practicing in Hiram, Georgia. Medicare paid $36,787 for services to 90 patients in 2024.
Overview
| NPI | 1760850655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 9, 2015 |
| Last updated in NPPES | Sep 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT012150 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 1,676 across 12 procedure codes |
| Paid by Medicare | $36,787 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Pinnacle Orthopaedics and Sports Medicine Specialists LLCMarietta, GA · 49 clinicians
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