Organization Active NPI

Synergize Health Services, LLC

  • Physical Therapist
  • Acworth, GA
National Provider Identifier
1750773842
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009713 Issued in GA
Legal business name
SYNERGIZE HEALTH SERVICES, LLC
Practice address
1617 Fernstone Dr NW
Acworth, GA 30101-3572
Phone
(404) 432-7550
Fax
(770) 428-1268
NPI assigned
Feb 26, 2015
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Mr. Mark Edward Prewitt, CPA
Title
Cfo
Phone
(404) 432-7222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009713 GA Primary
Occupational Therapist 225X00000X OT003664 GA

Addresses

Primary practice location

1617 Fernstone Dr NW
Acworth, GA 30101-3572

Mailing address

1617 Fernstone Dr NW
Acworth, GA 30101-3572
Phone (404) 432-7550

National Provider Directory

National Provider Directory

Locations

1408 Spring St SE
Smyrna, GA 30080
Phone (404) 432-7550

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1750773842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 FERNSTONE DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013572",
            "telephone_number": "404-432-7550",
            "fax_number": "770-428-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 FERNSTONE DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013572",
            "telephone_number": "404-432-7550",
            "fax_number": "770-428-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGIZE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "PREWITT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-432-7222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009713",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.