Organization Active NPI

Sweet Apple Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Roswell, GA
National Provider Identifier
1144682303
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
020987 Issued in GA
Legal business name
SWEET APPLE MEDICAL GROUP
Practice address
11040 Crabapple Rd
Suite C
Roswell, GA 30075-2457
Phone
(770) 565-5510
NPI assigned
Mar 25, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Mr. Alexander K Gebhardt
Title
Doctor
Phone
(770) 241-2050

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007542 GA
Physical Medicine & Rehabilitation Physician 208100000X 020987 GA Primary
General Practice Physician 208D00000X 44023 GA

Addresses

Primary practice location

11040 Crabapple Rd
Suite C
Roswell, GA 30075-2457

Mailing address

11040 Crabapple Rd
Suite C
Roswell, GA 30075-2457
Phone (770) 565-5510

National Provider Directory

National Provider Directory

Locations

11040 Crabapple Rd
Ste C
Roswell, GA 30075
Phone (770) 565-5510

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1144682303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 CRABAPPLE RD",
            "address_2": "SUITE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752457",
            "telephone_number": "770-565-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 CRABAPPLE RD",
            "address_2": "SUITE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752457",
            "telephone_number": "770-565-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET APPLE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "GEBHARDT",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-241-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007542",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "020987",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "44023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.