Golden Jewels Rehab & Healing, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

GOLDEN JEWELS REHAB & HEALING, LLC

Practice address

126 W Solomon St
Griffin, GA 30223-3045

Phone

(678) 572-4441

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Deandre Sims, OTR/L

Title

Owner

Phone

(404) 242-3286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1811612385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W SOLOMON ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233045",
            "telephone_number": "678-603-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W SOLOMON ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233045",
            "telephone_number": "678-572-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN JEWELS REHAB & HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-3286",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Glass, FNP-C
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• Clarence Buren Glover Jr., PAC
• Golden Daze Transports, LLC
• Teresa Ann Goldin, M.D.
• Earl S Golightly, MD
• Frank V Gordon Jr., PH.D.
• Melissa Gwyn Gordon, APRN
• Rachel Gordy

• Occupational Therapist in Griffin, GA
• Providers in Griffin, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.