Active NPI
Rehab Atlanta, Inc.
- Rehabilitation Practitioner
- Roswell, GA
National Provider Identifier
1972635175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 026588
- Legal business name
- REHAB ATLANTA, INC.
- Practice address
- 11685 Alpharetta Hwy
Suite 155
Roswell, GA 30076-4913 - Phone
- (770) 442-0836
- Fax
- (770) 664-0985
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wesley Burton McDaniel II, M.D.
- Title
- Owner
- Phone
- (770) 442-0836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 026588 | GA | Primary |
Addresses
Primary practice location
11685 Alpharetta Hwy
Suite 155
Roswell, GA 30076-4913
Mailing address
11685 Alpharetta Hwy
Suite 155
Roswell, GA 30076-4913
Phone (770) 442-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC9720 | Other | GA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
11685 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 442-0836
11685 Alpharetta Hwy
Ste 155
Roswell, GA 30076
Phone (770) 442-0836
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Atlanta, GA
- NPI 1992732457
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1144252610
-
- Family Nurse Practitioner
- Roswell, GA
- NPI 1891773792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1972635175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11685 ALPHARETTA HWY",
"address_2": "SUITE 155",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764913",
"telephone_number": "770-442-0836",
"fax_number": "770-664-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11685 ALPHARETTA HWY",
"address_2": "SUITE 155",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764913",
"telephone_number": "770-442-0836",
"fax_number": "770-664-0985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB ATLANTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "BURTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-442-0836",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "GA",
"license": "026588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC9720",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.