Organization Active NPI

Abbanna Health & Rehab Services PC

  • Physical Therapist
  • Covington, GA
National Provider Identifier
1124184908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008102 Issued in GA
Legal business name
ABBANNA HEALTH & REHAB SERVICES PC
Practice address
4124 Highway 278 NE
Covington, GA 30014-2494
Phone
(770) 786-5000
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Nonyelum Momah, PTNPI 1609932474
Title
President
Phone
(770) 786-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT008102 GA Primary

Addresses

Primary practice location

4124 Highway 278 NE
Covington, GA 30014-2494

Mailing address

4124 Highway 278 NE
Covington, GA 30014-2494
Phone (770) 786-5000

National Provider Directory

National Provider Directory

Locations

13015 Brown Bridge Rd
Ste 2
Covington, GA 30016
Phone (678) 342-6162

13015 Brown Bridge Rd
Ste 210
Covington, GA 30016
Phone (678) 342-6162

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124184908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-786-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-786-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBANNA HEALTH & REHAB SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOMAH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NONYELUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-786-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • 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.