Active NPI
Medrehab Specialists PA
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1265710149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- MEDREHAB SPECIALISTS PA
- Practice address
- 303 Perimeter Ctr N
Suite 300
Atlanta, GA 30346-3402 - Phone
- (404) 596-5599
- Fax
- (888) 508-2509
- NPI assigned
- Jul 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alberto Morejon, D.O,
- Title
- Owner
- Phone
- (404) 596-5599
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
303 Perimeter Ctr N
Suite 300
Atlanta, GA 30346-3402
Mailing address
303 Perimeter Ctr N
Suite 300
Atlanta, GA 30346-3402
Phone (404) 596-5599
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003115372A | Medicaid | GA | |
| DS1707 | Other | GA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1942454871
-
- Physician Assistant
- Atlanta, GA
- NPI 1407970122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1265710149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 PERIMETER CTR N",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303463402",
"telephone_number": "404-596-5599",
"fax_number": "888-508-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PERIMETER CTR N",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303463402",
"telephone_number": "404-596-5599",
"fax_number": "888-508-2509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDREHAB SPECIALISTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-27",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "MOREJON",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-596-5599",
"authorized_official_credential": "D.O,"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115372A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DS1707",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.