Georgia Rehab Clinic LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

071689 Issued in GA

Legal business name

GEORGIA REHAB CLINIC LLC

Practice address

1800 Peachtree St NW Ste 450
Atlanta, GA 30309-2520

Phone

(470) 481-6200

Fax

(404) 745-8184

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emma Cull

Title

Managment

Phone

(678) 469-5011

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1932608338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092520",
            "telephone_number": "470-481-6200",
            "fax_number": "404-745-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092520",
            "telephone_number": "470-481-6200",
            "fax_number": "404-745-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REHAB CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MANAGMENT",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "071689",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Psychiatric Consultants LLC
• Georgia Psychiatry & Sleep (Hightop Health)
• Georgia Psychological Services
• Georgia Recovery Centers, LLC
• Georgia Recovery Centers, LLC
• Georgia Renal Services
• Georgia Renal Specialists
• Georgia Reproductive Spec 2 LLC
• Georgia Reproductive Specialists, LLC (SGF Atlanta)
• Georgia Retina Surgery Center, LLC

• Physical Medicine & Rehabilitation Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.