Phoenix Wellness and Rehabiilitation Services

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHOENIX WELLNESS AND REHABIILITATION SERVICES

Practice address

2959 Herron LN SW
Atlanta, GA 30349-1501

Phone

(678) 591-3873

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By 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

Dr. Latrisha McCauley, DC

Title

Owner

Phone

(678) 591-3873

Specialties & licenses 5

Addresses

Practitioners 1

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.

• Latrisha Evon McCauley, DC, MS, DC

  • Chiropractor
  • Kennesaw, GA
  • NPI 1801129424
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1265235733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 HERRON LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491501",
            "telephone_number": "678-591-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 HERRON LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491501",
            "telephone_number": "678-591-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WELLNESS AND REHABIILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "LATRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-591-3873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix & Sycomore Enterprises, LLC (Firebird Consultants)
• Phoenix & Sycomore Enterprises, LLC (Firebird Surgical Consultants)
• Phoenix and Pearl Counseling Services, LLC
• Phoenix Healthcare Solutions
• Phoenix Practice Management
• Phoenix Wellness Center LLC
• Kendra D Phoumivong, LMSW
• Phyllis Carrera
• Phyllis Williams, LMFT, PC
• Phynova Mso, LLC

• Physical Medicine & Rehabilitation Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.