Southern Regional Medical Center, Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

SOUTHERN REGIONAL MEDICAL CENTER, INC

Doing business as

Inpatient Rehab Unit

Practice address

11 Upper Riverdale Rd SW
Inpatient Rehab
Riverdale, GA 30274-2615

Phone

(770) 991-8000

NPI assigned

Feb 20, 2007

Last updated

Aug 22, 2020By 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

Mr. Richard Stovall

Title

Chief Financial Officer

Phone

(770) 991-8165

Specialties & licenses 1

Addresses

Other names 1

• Inpatient Rehab Unit Doing business as

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659416725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "address_2": "INPATIENT REHAB",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "address_2": "INPATIENT REHAB",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "770-991-8165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inpatient Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Hospital Unit in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Rehabilitation Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.