Organization Active NPI

Gregg Soifer, MD, LLC

  • Physical Medicine & Rehabilitation Physician
  • Cumming, GA
National Provider Identifier
1669816724
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
31798 Issued in TX
Legal business name
GREGG SOIFER, MD, LLC
Practice address
1165 Sanders Rd
Cumming, GA 30041-5965
Phone
(817) 284-9850
Fax
(817) 284-9859
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Gregg Adam Soifer, M.D.NPI 1679545537
Title
President
Phone
(817) 284-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 31798 TX Primary

Addresses

Primary practice location

1165 Sanders Rd
Cumming, GA 30041-5965

Mailing address

PO Box 678402
Dallas, TX 75267-8402
Phone (800) 324-4777

Other practice location 1

10475 Medlock Bridge Rd Ste 420
Johns Creek, GA 30097-4439
Phone (817) 284-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130601000022 AL Part B Supplier - Clinic/Group Practice 6901044023 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montgomery, AL
O20210621002167 GA Part B Supplier - Clinic/Group Practice 6901044023 Receives reassigned benefits from 3 practitioners
Practice locations: Cumming, GA; Johns Creek, GA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Gregg Soifer MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2543 Ross Clark Cir
Ste 1
Dothan, AL 36301
Phone (334) 712-6333

1736 E Main St
Ste 100
Dothan, AL 36301
Phone (334) 712-6333

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1669816724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678402",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678402",
            "telephone_number": "800-324-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 SANDERS RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415965",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Medlock Bridge Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974439",
            "country_code": "US",
            "telephone_number": "817-284-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREGG SOIFER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SOIFER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-284-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "31798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.