Organization Active NPI

Prolevel Recovery LLC

  • Physical Therapist
  • Fayetteville, GA
National Provider Identifier
1720930340
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROLEVEL RECOVERY LLC
Practice address
220 Banks Xing
Fayetteville, GA 30214-7814
Phone
(770) 716-9121
NPI assigned
Feb 14, 2026
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Andrew Adams
Title
Owner
Phone
(770) 842-8128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

220 Banks Xing
Fayetteville, GA 30214-7814

Mailing address

220 Banks Xing
Fayetteville, GA 30214-7814
Phone (770) 716-9121

National Provider Directory

National Provider Directory

Locations

220 Banks Xing
Fayetteville, GA 30214
Phone (770) 716-9121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1720930340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BANKS XING",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147814",
            "telephone_number": "770-716-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BANKS XING",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147814",
            "telephone_number": "770-716-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLEVEL RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-842-8128"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.