Superior Healthcare of Acworth, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

LC20130000880 Issued in GA

Legal business name

SUPERIOR HEALTHCARE OF ACWORTH, LLC

Practice address

5505 Bells Ferry Rd
Building 300
Acworth, GA 30102-7527

Phone

(678) 214-0010

Fax

(678) 214-0124

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Peacock

Title

Business Office Director

Phone

(678) 214-0100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Elmore, NP, DC

  • Adult Health Nurse Practitioner
  • Sandy Springs, GA
  • NPI 1164824132
  NPD (past)

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1033531769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 BELLS FERRY RD",
            "address_2": "BUILDING 300",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027527",
            "telephone_number": "678-214-0010",
            "fax_number": "678-214-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 BELLS FERRY RD",
            "address_2": "BUILDING 300",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027527",
            "telephone_number": "678-214-0010",
            "fax_number": "678-214-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE OF ACWORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "678-214-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "LC20130000880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Strack
• Strategic Health & Lab Solutions, LLC
• Melissa F Stroud, RN
• Brandi Sturdivant
• Thania Mari Suarez, RN
• Superior Healthcare of Bells Ferry, LLC
• Swarnalatha Inderjith.MD.PC (Tricounty Behavioral Health Clinic)
• Kristen Mae Sweet Gibbs, BCBA
• Swift Diagnostics Center LLC
• Synergize Health Services, LLC

• Physical Medicine & Rehabilitation Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.