NPIMap

Organization Active NPI

Sugar Hill Wellness Center Pain & Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Buford, GA
National Provider Identifier
1326323668
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
41961 Issued in GA
Legal business name
SUGAR HILL WELLNESS CENTER PAIN & REHAB LLC
Practice address
4450 Nelson Brogdon Blvd
Suite D1
Buford, GA 30518-3447
Phone
(770) 932-9998
Fax
(877) 619-3810
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Kevin Smith, MDNPI 1790784361
Title
Director
Phone
(770) 932-9998

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: 193200000X MULTI-SPECIALTY GROUP 208100000X 41961 GA Primary

Addresses

Primary practice location

4450 Nelson Brogdon Blvd
Suite D1
Buford, GA 30518-3447

Mailing address

4450 Nelson Brogdon Blvd
Suite D1
Buford, GA 30518-3447
Phone (770) 932-9998

National Provider Directory

National Provider Directory

Locations

4450 Nelson Brogdon Blvd
Ste D1
Buford, GA 30518
Phone (770) 932-9998

Practitioners & affiliated clinicians

Practitioners 7

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": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1326323668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 NELSON BROGDON BLVD",
            "address_2": "SUITE D1",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183447",
            "telephone_number": "770-932-9998",
            "fax_number": "877-619-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 NELSON BROGDON BLVD",
            "address_2": "SUITE D1",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183447",
            "telephone_number": "770-932-9998",
            "fax_number": "877-619-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR HILL WELLNESS CENTER PAIN & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-932-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "41961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.