Organization Active NPI

Superior Healthcare of Bells Ferry, LLC

  • Physical Medicine & Rehabilitation Physician
  • Acworth, GA
National Provider Identifier
1922409341
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
LC20140000672 Issued in GA
Legal business name
SUPERIOR HEALTHCARE OF BELLS FERRY, LLC
Practice address
5505 Bells Ferry Rd
Acworth, GA 30102-7527
Phone
(770) 310-2204
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Mr. Thomas Hourin, D.C.
Title
Owner
Phone
(770) 310-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X LC20140000672 GA Primary

Addresses

Primary practice location

5505 Bells Ferry Rd
Acworth, GA 30102-7527

Mailing address

5505 Bells Ferry Rd
Acworth, GA 30102-7527
Phone (770) 310-2204

National Provider Directory

National Provider Directory

Locations

5505 Bells Ferry Rd
Acworth, GA 30102
Phone (678) 214-0100

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1922409341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 BELLS FERRY RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027527",
            "telephone_number": "770-310-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 BELLS FERRY RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301027527",
            "telephone_number": "770-310-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE OF BELLS FERRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "HOURIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-310-2204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "LC20140000672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.