NPIMap

Organization Active NPI

Atlanta Rehabilitation Consultants PC

  • Physical Medicine & Rehabilitation Physician
  • Duluth, GA
National Provider Identifier
1295898880
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
24513 Issued in GA
Legal business name
ATLANTA REHABILITATION CONSULTANTS PC
Practice address
3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone
(678) 584-6786
Fax
(678) 584-6719
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. Sunil Bhole, MDNPI 1639231350
Title
President
Phone
(404) 673-0308

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 24513 GA Primary

Addresses

Primary practice location

3215 McClure Bridge Rd
Duluth, GA 30096-3223

Mailing address

8953 Old Southwick Pass
Alpharetta, GA 30022-7140
Phone (770) 664-7379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001659 GA Part B Supplier - Clinic/Group Practice 4789575283 Receives reassigned benefits from 5 practitioners
Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Locations

3000 Old Alabama Rd
Ste 119
Johns Creek, GA 30022
Phone (470) 366-3386

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1295898880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 OLD SOUTHWICK PASS",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227140",
            "telephone_number": "770-664-7379",
            "fax_number": "770-558-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963223",
            "telephone_number": "678-584-6786",
            "fax_number": "678-584-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA REHABILITATION CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BHOLE",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-673-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "24513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.

Verify at the official NPI Registry.