Southern Regional Accident & Injury Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHERN REGIONAL ACCIDENT & INJURY INC.

Practice address

34 Upper Riverdale Rd SE
Suite 100D
Riverdale, GA 30274-2635

Phone

(770) 991-1227

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Todd Kohout

Title

President

Phone

(770) 991-1227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871675470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303552529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UPPER RIVERDALE RD SE",
            "address_2": "SUITE 100D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742635",
            "telephone_number": "770-991-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REGIONAL ACCIDENT & INJURY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHOUT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-991-1227"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Medical Products, Inc.
• Southern Pulmonary Care
• Southern Regional Health System, Inc (Southern Regional Medical Center)
• Southern Regional Medical Center - Prime Healthcare (Southern Regional Outpatient Pharmacy)
• Southern Regional Medical Center, Inc (Inpatient Rehab Unit)
• Southern Regional Medical Center, Inc. (Riverwoods)
• Southern Regional Physicians Management Group, LLC

• Chiropractor in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.