Sovereign Rehabilitation of Georgia, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOVEREIGN REHABILITATION OF GEORGIA, LLC

Doing business as

Centers for Orthopedic Rehab

Practice address

439 Sigman Rd NW
Suite D
Conyers, GA 30012-3653

Phone

(678) 210-0311

Fax

(678) 210-0335

NPI assigned

Mar 25, 2008

Last updated

Jul 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Dawn Holland

Title

Service Center Director

Phone

(404) 835-3343

Specialties & licenses 1

Addresses

Other names 1

• CENTERS FOR ORTHOPEDIC REHAB Doing business as

Member of 1

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

• Northside Hospital, Inc.

  dba Northside Hospital Cherokee 'A Wellness Place'

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216425600000",
    "number": "1588836019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-835-3343",
            "fax_number": "404-207-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SIGMAN RD NW",
            "address_2": "SUITE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123653",
            "telephone_number": "678-210-0311",
            "fax_number": "678-210-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN REHABILITATION OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-07-19",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "SERVICE CENTER DIRECTOR",
        "authorized_official_telephone_number": "404-835-3343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERS FOR ORTHOPEDIC REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Wound Care Services, Inc
• Southern Cross Surgery Center, LLC
• Southern Pain Institute P C (Southern Pain Institute)
• Southern Pain Institute PC
• Sovereign Rehabilitation of Georgia, LLC
• Yemi Joke Sowemimo, FNP
• Speech Language and Cognitive Rehabilitation LLC
• Quanta R Speight
• Spelios and Associates Conyers PC
• Megan Catherine Spence, DPT

• Physical Therapy Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2008; 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.