South Atlant Medical& Rehabilitation, L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH ATLANT MEDICAL& REHABILITATION, L.L.C.

Practice address

1711 Washington Ave
East Point, GA 30344-4115

Phone

(404) 767-7474

Fax

(404) 767-7707

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ian Bradley Brunet, D.C.

Title

Owner

Phone

(678) 817-4053

Specialties & licenses 1

Addresses

Tax ID family

South Atlant Medical Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Atlanta Medical and Rehabilitation, LLC

  • Specialist
  • Fayetteville, GA
  • NPI 1063671915
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1013042712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WASHINGTON AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444115",
            "telephone_number": "404-767-7474",
            "fax_number": "404-767-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 WASHINGTON AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444115",
            "telephone_number": "404-767-7474",
            "fax_number": "404-767-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANT MEDICAL& REHABILITATION, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "BRUNET",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-817-4053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daiysha Smith
• Davaughan Smith
• Valerie Smith, DDS
• Sobek, LLC
• Sound Physicians of Georgia III PC
• South Atlanta Digestive Diseases Associates
• South Atlanta Medical Associates PC
• South Atlanta Medical Associates, PC
• South Atlanta Pulmonary Group
• South Atlanta Spine and Wellness Center

• Specialist in East Point, GA
• Providers in East Point, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.