Individual provider Active NPI

Rita Michelle Gholston, MHS OTR/L

  • Occupational Therapist
  • Lawrenceville, GA
National Provider Identifier
1164793550
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005128 Issued in GA
Practice address
920 River Centre PL Ste 200
Lawrenceville, GA 30043-7320
Phone
(678) 205-5420
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005128 GA Primary

Addresses

Primary practice location

920 River Centre PL Ste 200
Lawrenceville, GA 30043-7320

Mailing address

920 River Centre PL Ste 200
Lawrenceville, GA 30043-7320
Phone (678) 205-5420

Other practice location 1

145 Forest Blvd Ste 200
Dawsonville, GA 30534-7878
Phone (706) 203-2100

Other practice location 2

225 Adams Dr Ste D
Demorest, GA 30535-4578
Phone (706) 754-3167

Other practice location 3

335 Roselane St NW Ste 201
Marietta, GA 30060-7902
Phone (770) 424-6787

Other practice location 4

2920 Ronald Reagan Blvd Ste 107
Cumming, GA 30041-7578
Phone (770) 887-0502

Other practice location 5

1301 Sigman Rd NE Ste 220
Conyers, GA 30012-3819
Phone (678) 210-0311

Other practice location 6

7378 Friendship Springs Blvd Ste B
Flowery Branch, GA 30542-5547
Phone (678) 318-8030

Other practice location 7

575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334
Phone (678) 205-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000365 GA Practitioner - Occupational Therapist in Private Practice 6507023280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT005128GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 8, 2026 Accepting new patients
Atlanta Rehabilitation and Performance Center PastSince Jul 8, 2026 Accepting new patients

Locations

920 River Centre Pl
#200
Lawrenceville, GA 30043
Phone (678) 205-5420

528 Valley Hill Rd SW
Riverdale, GA 30274
Phone (678) 712-3072

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1164793550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIVER CENTRE PL STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437320",
            "telephone_number": "678-205-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 RIVER CENTRE PL STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437320",
            "telephone_number": "678-205-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Forest Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305347878",
            "country_code": "US",
            "telephone_number": "706-203-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Adams Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354578",
            "country_code": "US",
            "telephone_number": "706-754-3167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Roselane St NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607902",
            "country_code": "US",
            "telephone_number": "770-424-6787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Ronald Reagan Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417578",
            "country_code": "US",
            "telephone_number": "770-887-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Sigman Rd NE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123819",
            "country_code": "US",
            "telephone_number": "678-210-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7378 Friendship Springs Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305425547",
            "country_code": "US",
            "telephone_number": "678-318-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Professional Dr Ste 370",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463334",
            "country_code": "US",
            "telephone_number": "678-205-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLSTON",
        "first_name": "RITA",
        "middle_name": "MICHELLE",
        "credential": "MHS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.