South Atlanta Medical and Rehabilitation, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH ATLANTA MEDICAL AND REHABILITATION, LLC

Practice address

288 Highway 314
Suite C
Fayetteville, GA 30214-7830

Phone

(678) 817-4053

Fax

(678) 817-4058

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Joshua D Lewis

Title

Billing Director

Phone

(678) 943-2697

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 Atlant Medical& Rehabilitation, L.L.C.

  • Specialist
  • East Point, GA
  • NPI 1013042712
  NPD tax ID

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1063671915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 314",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147830",
            "telephone_number": "678-817-4053",
            "fax_number": "678-817-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 314",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147830",
            "telephone_number": "678-817-4053",
            "fax_number": "678-817-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA MEDICAL AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "678-943-2697"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Soriano, SLP
• Source Medical Supplies
• South & East Medical Transport Group
• South Atlanta Ear Nose & Throat, PC
• South Atlanta Integrative Medicine
• South Atlanta Spine and Wellness Center
• South Atlanta Surgical Assistants
• South Regional Surgical Services
• Southeast Georgia Injury Centers
• Southern Behavioral Healthcare,P.C

• Specialist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.