Georgia Pelvic Health & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GEORGIA PELVIC HEALTH & WELLNESS

Practice address

205 Redmond Rd NW
Rome, GA 30165-1537

Phone

(706) 844-5844

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Kelly McClainNPI 1598030215

Title

Owner

Phone

(706) 232-4383

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Walker Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Rome, GA
  • NPI 1700831237

  1456565423

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Walker Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Rome, GA
  • NPI 1700831237

  O20200609001265

  Same enrollment

Locations

Practitioners 2

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

• Kelly J McClain, PT

  • Physical Therapist
  • Rome, GA
  • NPI 1598030215

  GA, Physical Therapist

  Medicare reassignment NPD Authorized official
• David Baggett

  • Prosthetist
  • Rome, GA
  • NPI 1033885975
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1528656642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651537",
            "telephone_number": "706-844-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PELVIC HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-232-4383"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021652400",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Group Services, LLC
• Georgia Highlands College
• Georgia Interventional Pain - I, LLC
• Georgia Oral Surgical Institute LLC
• Georgia Pain and Wellness Center
• Georgia Pelvic PT, LLC
• Georgia Wound Physicians, LLC
• Gerald D. Jennings, PHD, LPC
• Laurie Ansley Gerhard, ARNP-BC
• Elizabeth Getchell

• All providers in Rome, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.