Rehab Medical of Atlanta, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

REHAB MEDICAL OF ATLANTA, LLC

Practice address

5875 Peachtree Industrial Blvd Ste 100
Peachtree Corners, GA 30092-3600

Phone

(404) 320-9150

Fax

(404) 320-9145

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Kevin Gearheart

Title

President

Phone

(317) 813-4210

Specialties & licenses 3

Addresses

Other names 1

• Rehab Medical of Atlanta, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Orbit Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • South Salt Lake, UT
  • NPI 1053379172

  Member Of

  NPD member
• Rehab Medical LLC

  • Customized Equipment (DME)
  • Pensacola, FL
  • NPI 1497166920

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1962431874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 PRIORITY WAY SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403831",
            "telephone_number": "317-436-6178",
            "fax_number": "855-671-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923600",
            "telephone_number": "404-320-9150",
            "fax_number": "404-320-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB MEDICAL OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "302974078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Medical of Atlanta, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Customized Equipment (DME) in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.