South Atlanta Joint & Rehab

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH ATLANTA JOINT & REHAB

Practice address

541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110

Phone

(706) 404-9011

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PHENIX CITY JOINT & REHAB, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Stephen B Cooper, DCNPI 1699719732

Title

Owner

Phone

(877) 495-7773

Specialties & licenses 1

Addresses

Part of

South Atlanta Mua Center

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.

• Stephen B Cooper, D.C.

  • Chiropractor
  • Phenix City, AL
  • NPI 1699719732
  Authorized official Same address or phone

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1073160404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1601",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681601",
            "telephone_number": "334-298-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY STE 14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976110",
            "telephone_number": "706-404-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA JOINT & REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHENIX CITY JOINT & REHAB, LLC",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-495-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewayne S Shaw, DDS
• Katrice Simmons, SPECIMEN COLLECTOR
• Thomas Wortham Simmons Jr., R.PH.
• Ali Malik Smith, PHARM D
• South Atl Ortho & SPTS
• South Atlanta Mua Center, LLC
• South Atlanta Spine and Joint Center LLC
• Southern Care Medical Transport LLC
• Southern Crescent Family Practice, LLC
• Southside Medical Center, Inc (Southside Medical Center School Based Health Center at Huie Elementary School)

• Family Medicine Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.