Southern Wellness & Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006880 Issued in GA

Legal business name

SOUTHERN WELLNESS & REHAB

Practice address

601 Brannen St
Statesboro, GA 30458-2002

Phone

(912) 764-9951

Fax

(912) 489-4808

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Bennett Smith

Title

Practice Manager

Phone

(912) 764-9951

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Robert Bryan Hugli, LPT

  • Physical Therapist
  • Statesboro, GA
  • NPI 1407882657

  GA, Physical Therapist

  Medicare reassignment NPD
• Joseph Brandon Beck, PT, DPT, ATC

  • Physical Therapist
  • Bonaire, GA
  • NPI 1346798782
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1548313752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590961",
            "telephone_number": "912-764-9951",
            "fax_number": "912-489-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BRANNEN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582002",
            "telephone_number": "912-764-9951",
            "fax_number": "912-489-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WELLNESS & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "912-764-9951",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10052983",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843784326A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Home Hearing LLC.
• Southern Hospitality Adult Day Health Agency LLC
• Southern Speech Center, Inc
• Southern Style Hospitality Home Services LLC
• Southern Weight Loss Clinic, LLC
• Bryan K. Sowell, PT
• Rebecca Marie Spahos, MD
• Nicholas Sparacio, ATC
• Taylor Lee Sparks, DC, ATC
• Leon Edward Spencer, EDD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.