NPIMap

Organization Active NPI

Central Georgia Rehabilitation

  • Rehabilitation Hospital
  • Macon, GA
National Provider Identifier
1366450710
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
011-561 Issued in GA
Legal business name
CENTRAL GEORGIA REHABILITATION
Practice address
3351 Northside Dr
Macon, GA 31210
Phone
(478) 201-6500
Fax
(478) 757-0835
NPI assigned
Aug 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Philip Wheeler
Title
Cfo
Phone
(706) 509-3012

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 94

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 94

Practitioners 26

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

View all 26

Affiliated clinicians 47

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 47

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Atrium Health Navicent Rehabilitation HospitalCCN 113029
Ownership
For profit
Certified
Jun 11, 2007
Medicare certification status
Active (Provider of Services file)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0264362Atrium HLTH Navicent Rehabilitation Hospital3351 Northside Drive, Macon, GA 31210Certificate of waiverAug 31, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Hospital certification: CCN 113029

Medicare enrollment files
Legal name
CENTRAL GEORGIA REHABILITATION
Doing business as
ATRIUM HEALTH NAVICENT REHABILITATION HOPSITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jun 11, 2007
Last certification
Nov 3, 2022
Beds
58
Ownership / control type
Private (for profit)
Organization structure
LLCNon-profit
Incorporated
Jun 29, 2006 in GA
Enrollment address
3351 Northside Dr
Macon, GA 31210-2587
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

All disclosed owners & managing parties 13

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Navicent Health Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 29, 2006 100%
Ah Georgia Inc Organization, Charlotte, NC Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Adrienne S H Purdue Individual Corporate DirectorChair, Navicent Health Oct 1, 2017
Cynthia Busbee Individual Corporate DirectorBoard Member May 9, 2024
The Charlotte-Mecklenburg Hospital Authority Organization, Charlotte, NC Medical provider/supplier, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Philip Wheeler Individual Corporate OfficerTreasurer / Cfo Jul 29, 2025
W-2 Managing EmployeeCfo May 1, 2026
Sanford G Duke Individual Corporate DirectorBoard Member Jun 1, 2020
Robert G Larrison Individual Corporate OfficerPresident Ceo & Chair Oct 18, 2023
Delvecchio S Finley Individual Corporate DirectorPresident/ Ceo Navicent Health Feb 1, 2021
Erin P Snyder Individual Corporate OfficerSecretary Oct 18, 2023
Atrium Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Oct 9, 2020
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Tracey Ann Blalock Individual Corporate DirectorBoard Member Jan 1, 2017

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20061030000424 GA Part a Provider - Hospital 7012914310 Practice locations: Macon, GA
O20110524000804 GA Part B Supplier - Clinic/Group Practice 7012914310 Receives reassigned benefits from 25 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

4035 Elnora Dr
Macon, GA 31210
Phone (478) 201-6500

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 011-561 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3351 Northside Dr
Macon, GA 31210

Mailing address

3351 Northside Dr
Macon, GA 31210-2587
Phone (478) 201-6500

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2025.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1366450710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102587",
            "telephone_number": "478-201-6500",
            "fax_number": "478-757-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-201-6500",
            "fax_number": "478-757-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-509-3012"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "011-561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.