West Georgia Therapy Center, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

WEST GEORGIA THERAPY CENTER, LLC

Practice address

605 North Ave
Villa Rica, GA 30180-1206

Phone

(770) 456-3472

Fax

(770) 456-3230

NPI assigned

Mar 23, 2006

Last updated

Aug 22, 2020By 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

Mr. George Bo Hamil Jr., MPTNPI 1174587620

Title

Ceo/President

Phone

(770) 832-2484

Specialties & licenses 1

Addresses

Practitioners 2

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.

• George Bo Hamil Jr., PT

  • Physical Therapist
  • Carrollton, GA
  • NPI 1174587620
  Authorized official Same address or phone
• Hettie Hague Stewart, PT

  • Physical Therapist
  • Villa Rica, GA
  • NPI 1417911983
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114987393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 NORTH AVE",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801206",
            "telephone_number": "770-456-3472",
            "fax_number": "770-456-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NORTH AVE",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801206",
            "telephone_number": "770-456-3472",
            "fax_number": "770-456-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-832-2484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstar Douglasville Medical Center at Villa Rica, LLC
• Wellstart Medical, LLC
• West Georgia Christian Counseling, LLC
• West Georgia Diagnostic Testing LLC
• West Georgia Family Medicine Associates, PA
• Westcare Villa Rica Pediatrics (Westcare Pediatrics and Adult Medicine)
• Joseph Peter Whitehead, D.C.
• Lauren Williams-Bryant, RN
• Francois Williams, MD
• India C. Williams, M.D.

• Rehabilitation Clinic/Center in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.