Individual provider Active NPI

Trevor Turner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Stockbridge, GA
National Provider Identifier
1417246786
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
82550 Issued in GA
Practice address
830 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-7366
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 82550 GA Primary
Physical Medicine & Rehabilitation Physician 208100000X ME122400 FL

Addresses

Primary practice location

830 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-7366

Mailing address

6700 Roswell Rd Apt 33B
Atlanta, GA 30328-2540
Phone (214) 727-4378

Other practice location 1

39C Oak Hill Ct Ste 101
Newnan, GA 30265-2392
Phone (770) 962-3642

Other identifiers 2

IdentifierTypeStateIssuer
150H9OtherFLBCBSFL
015013000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520000009 GA Practitioner - Physical Medicine and Rehabilitation 7810147170 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122400FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NGX Lawrenceville Ga PC Physical Medicine & Rehabilitation CurrentSince May 1, 2023 Accepting new patients
Augusta Ways Holdings LLC Physical Medicine & Rehabilitation CurrentSince Jan 4, 2023 Accepting new patients
Rome Ways Holdings LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2024 Accepting new patients

Locations

1349 Druid Park Ave
Augusta, GA 30904
Phone (706) 733-7537

1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777

1838 Redmond Cir NW
Ste Bc
Rome, GA 30165
Phone (706) 750-0322

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1417246786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ROSWELL RD APT 33B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282540",
            "telephone_number": "214-727-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 EAGLES LANDING PKWY STE 204",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817366",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39C Oak Hill Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652392",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "82550",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME122400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "150H9",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015013000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.