Active NPI
Emson Philogene
- Physical Medicine & Rehabilitation Physician
- Peachtree City, GA
National Provider Identifier
1023923471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTA005557
- Practice address
- 3200 Shakerag HL Ste C
Peachtree City, GA 30269-6524 - Phone
- (770) 487-0760
- NPI assigned
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA005557 | GA | Primary |
Addresses
Primary practice location
3200 Shakerag HL Ste C
Peachtree City, GA 30269-6524
Mailing address
2402 Fontainebleau Dr
Orlando, FL 32808-5132
Phone (772) 224-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1023923471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 FONTAINEBLEAU DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328085132",
"telephone_number": "772-224-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SHAKERAG HL STE C",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302696524",
"telephone_number": "770-487-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILOGENE",
"first_name": "EMSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "PTA005557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.