Organization Active NPI

Rehabilitactics, PC

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1710045653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
039965 Issued in GA
Legal business name
REHABILITACTICS, PC
Practice address
501 Pulliam St SW
Suite 144
Atlanta, GA 30312-2755
Phone
(404) 522-2422
Fax
(404) 242-2292
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharron L Thompson, MDNPI 1669462883
Title
President
Phone
(404) 522-2422

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 039965 GA Primary

Addresses

Primary practice location

501 Pulliam St SW
Suite 144
Atlanta, GA 30312-2755

Mailing address

PO Box 2889
Decatur, GA 30031-2889
Phone (404) 522-2422

Other identifiers 1

IdentifierTypeStateIssuer
1669462883OtherNPI FOR S. THOMPSON, MD

National Provider Directory

National Provider Directory

Locations

501 Pulliam St SW
Ste 150
Atlanta, GA 30312
Phone (404) 522-2210

841 Mulberry St
Macon, GA 31201
Phone (478) 741-1192

1459 Montreal Rd
Ste 311
Tucker, GA 30084
Phone (404) 508-4320

Practitioners & affiliated clinicians

Practitioners 2

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710045653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2889",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300312889",
            "telephone_number": "404-522-2422",
            "fax_number": "404-522-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PULLIAM ST SW",
            "address_2": "SUITE 144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122755",
            "telephone_number": "404-522-2422",
            "fax_number": "404-242-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITACTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-522-2422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "039965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR S. THOMPSON, MD",
            "identifier": "1669462883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • 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.