Active NPI
Sablon Medical Group LLC
- Occupational Therapist
- Douglasville, GA
National Provider Identifier
1821776097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SABLON MEDICAL GROUP LLC
- Practice address
- 6234 Lullwater Drive
Douglasville, GA 30135-2412 - Phone
- (678) 492-7342
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Sablon
- Title
- Ceo
- Phone
- (678) 492-7342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
6234 Lullwater Drive
Douglasville, GA 30135-2412
Mailing address
6234 Lullwater Dr
Douglasville, GA 30135-3722
Phone (678) 492-7342
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688688000000",
"number": "1821776097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6234 LULLWATER DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301353722",
"telephone_number": "678-492-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6234 LULLWATER DRIVE",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352412",
"telephone_number": "678-492-7342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABLON MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "SABLON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-492-7342"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.