NPIMap

Organization Active NPI

Advance Rehabilitation for Kids of Gordon County, Inc

Doing business as Advance Rehab for Kids

  • Rehabilitation Clinic/Center
  • Calhoun, GA
National Provider Identifier
1376513382
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ADVANCE REHABILITATION FOR KIDS OF GORDON COUNTY, INC
Doing business as
Advance Rehab for Kids
Practice address
365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone
(706) 624-3000
Fax
(706) 624-3001
NPI assigned
Jan 23, 2006
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Wendy M Barton
Title
Office Manager
Phone
(706) 624-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

365 S Industrial Blvd
Calhoun, GA 30701-3075

Mailing address

365 S Industrial Blvd
Calhoun, GA 30701-3075
Phone (706) 624-3000

Other names 1

  • Advance Rehab for Kids Doing business as

National Provider Directory

National Provider Directory

Locations

1114 S Wall St
Calhoun, GA 30701
Phone (706) 624-3000

365 S Industrial Blvd
Calhoun, GA 30701
Phone (706) 624-3000

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1376513382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S INDUSTRIAL BLVD",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013075",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S INDUSTRIAL BLVD",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013075",
            "telephone_number": "706-624-3000",
            "fax_number": "706-624-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE REHABILITATION FOR KIDS OF GORDON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-624-3000"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Rehab for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.