Rehabilitation Center of South Georgia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REHABILITATION CENTER OF SOUTH GEORGIA, LLC

Practice address

2002 Tift Ave N
Tifton, GA 31794-1824

Phone

(229) 382-7342

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. William C Davis Jr.

Title

Manager

Phone

(478) 988-1294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1073864286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 TIFT AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941824",
            "telephone_number": "229-382-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 TIFT AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941824",
            "telephone_number": "229-382-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CENTER OF SOUTH GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-988-1294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpa H Ray, M.D.
• Raymond Aldridge MD PC
• Subricca Nicole Redding Luster, FNP-C
• Kristy L Redlinger, PAC
• Kyle Register
• Rehabilitation Services of Tifton, Inc.
• Nathan Revels
• Margaret A Richardson-Nixon, MD
• Kathleen Richardson, MD
• Abeeku Ayize Ricks, M.D.

• Skilled Nursing Facility in Tifton, GA
• Providers in Tifton, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.