Organization Active NPI

Atlanta Health and Injury Clinic Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Atlanta, GA
National Provider Identifier
1902288541
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ATLANTA HEALTH AND INJURY CLINIC INC.
Practice address
550 Fairburn Rd SW Ste A5
Atlanta, GA 30331-2015
Phone
(404) 691-4822
Fax
(404) 692-4144
NPI assigned
Jun 19, 2015
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Mr. Orie Travoy Jenkins, ADMINISTRATORNPI 1629659347
Title
Ceo
Phone
(404) 229-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

550 Fairburn Rd SW Ste A5
Atlanta, GA 30331-2015

Mailing address

550 Fairburn Rd SW Ste A5
Atlanta, GA 30331-2015
Phone (404) 691-4822

Other practice location 1

6525 Professional Pl
C
Riverdale, GA 30274-2519
Phone (770) 681-0324

National Provider Directory

National Provider Directory

Locations

2841 Greenbriar Pkwy SW
Ste X304
Atlanta, GA 30331
Phone (404) 691-4822

550 Fairburn Rd SW
Ste A5
Atlanta, GA 30331
Phone (404) 691-4822

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1902288541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FAIRBURN RD SW STE A5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312015",
            "telephone_number": "404-691-4822",
            "fax_number": "404-692-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FAIRBURN RD SW STE A5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312015",
            "telephone_number": "404-691-4822",
            "fax_number": "404-692-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 Professional Pl",
            "address_2": "C",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742519",
            "country_code": "US",
            "telephone_number": "770-681-0324",
            "fax_number": "770-703-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA HEALTH AND INJURY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ORIE",
        "authorized_official_middle_name": "TRAVOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-229-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.