Dream Medical & Rehab Center, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR007731 Issued in GA

Legal business name

DREAM MEDICAL & REHAB CENTER, LLC

Practice address

2024 Powers Ferry Rd. SE
Ste# 110
Atlanta, GA 30339

Phone

(770) 955-3501

Fax

(770) 955-3505

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Allen Madison Avery III, D.C.NPI 1902944515

Title

Director of Rehab

Phone

(770) 955-3501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Dream Medical and Rehab Center2 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.

• Dream Medical & Rehab, LLC

  • Exclusive Provider Organization
  • Atlanta, GA
  • NPI 1679777932
  NPD tax ID

Locations

Practitioners 2

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

• Allen Madison Avery III, D.C.

  • Chiropractor
  • Atlanta, GA
  • NPI 1902944515
  Medicare reassignment Authorized official
• Rickey Washington, MD

  • Hospitalist Physician
  • Marietta, GA
  • NPI 1750372942
  Medicare reassignment NPD

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1790018554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 POWERS FERRY RD SE",
            "address_2": "STE# 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395011",
            "telephone_number": "770-955-3501",
            "fax_number": "770-955-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 POWERS FERRY RD. SE",
            "address_2": "STE# 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-955-3501",
            "fax_number": "770-955-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM MEDICAL & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "MADISON",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB",
        "authorized_official_telephone_number": "770-955-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR007731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Drayton
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• Dream Breast Care Center LLC
• Dream Care Atlanta
• Dream Homecare Inc.
• Dream Medical & Rehab, LLC
• Dream Springs Psychotherpay Associates
• Dreamworks of Atlanta LLC
• Glenda Alise Dredden
• Dreem Factory Medical Institute

• Rehabilitation Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.