PROCARE MEDICAL GROUP, LLC (NPI# 1194128447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194128447 |
| Entity Type | Organization |
| Organization Name | PROCARE MEDICAL GROUP, LLC |
| Practice Address |
1395 S Marietta Pkwy Se Bldg 100 Suite 102 Marietta GA 30067-4440 |
| Practice Telephone | 7704258700 |
| Practice Fax Number | 7704258740 |
| Mailing Telephone | 7704258700 |
| Mailing Fax Number | 7704258740 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | CYNTHIA TATE (ADMINISTRATOR) |
| Authorized Official Telephone | 7704288700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1395 S MARIETTA PKWY SE BLDG 100 SUITE 102 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267640 | Eric David Solomon | Physical Medicine & Rehabilitation | 1395 S Marietta Pkwy Se, Bldg 100 Ste 102, Marietta, GA 30067-4440 | 2005-12-30 |
| 1417576455 | Davis, Paquette, and Molineaux Holdings, LLC | Non-emergency Medical Transport (VAN) | 1395 S Marietta Pkwy Se, Ste 730 Office A, Marietta, GA 30067 | 2020-04-09 |
| 1851842652 | Philip Garofano | Nurse Practitioner | 1395 S Marietta Pkwy Se, Marietta, GA 30067-4440 | 2016-10-18 |
| 1982153359 | Agape Chronic Care, LLC | Clinical Nurse Specialist | 1395 S Marietta Pkwy Se, Suite 730, Marietta, GA 30067-4440 | 2016-09-27 |
| 1013308923 | Sarah Winter | Physical Therapy Assistant | 1395 S Marietta Pkwy Se, Bldg. 200 Ste 212, Marietta, GA 30067-4440 | 2015-02-13 |
| 1689017352 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 1395 S Marietta Pkwy Se, Ste 910, Marietta, GA 30067-4440 | 2013-04-12 |
| 1184997439 | Northside Psychological Services, Inc. | Psychologist | 1395 S Marietta Pkwy Se, Bldg. 400, Suite 112, Marietta, GA 30067-4440 | 2012-02-16 |
| 1679749758 | The Harville Group | Pharmacy | 1395 S Marietta Pkwy Se, Bldg 400-105, Marietta, GA 30067-4440 | 2008-05-07 |
| 1477679488 | David L. Cook | Optometrist | 1395 S Marietta Pkwy Se, Bld. 400, Ste. 116, Marietta, GA 30067-4440 | 2007-03-21 |
| 1417054669 | Chronic Pain Clinics of America LLC | Specialist | 1395 S Marietta Pkwy Se, Bldg 100 Ste 101, Marietta, GA 30067-4440 | 2006-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428935 | Bounce, LLC | Physical Medicine & Rehabilitation | 165 Vann Street Ne, Marietta, GA 30060-7249 | 2016-02-26 |
| 1750602405 | Karon Nachelle Hammonds | Physical Medicine & Rehabilitation | 100 Lacy Street, Suite 150, Marietta, GA 30060 | 2010-06-17 |
| 1053359034 | Ken Gordon Knott | Physical Medicine & Rehabilitation | 1455 Bells Ferry Rd, Suite 100, Marietta, GA 30066-6078 | 2006-06-03 |
| 1740267640 | Eric David Solomon | Physical Medicine & Rehabilitation | 1395 S Marietta Pkwy Se, Bldg 100 Ste 102, Marietta, GA 30067-4440 | 2005-12-30 |
| 1750383337 | Alexander D Minard | Physical Medicine & Rehabilitation | 400 Matthew St Ste 306, Marietta, OH 45750-1656 | 2005-08-12 |
| 1457354185 | Alison Drake-barrack | Physical Medicine & Rehabilitation | 1230 Johnson Ferry Pl, Suite H 15, Marietta, GA 30068-2048 | 2005-05-27 |
| 1134639131 | Holistica Medical LLC | Physical Medicine & Rehabilitation | 2550 Windy Hill Rd Se Ste 215, Marietta, GA 30067-8654 | 2017-10-04 |
| 1922418763 | Maria Anne Beran | Physical Medicine & Rehabilitation | 100 Lacy St Nw Ste 150, Marietta, GA 30060 | 2014-05-01 |
| 1477963668 | Roberta Lui | Physical Medicine & Rehabilitation | 100 Lacy St Nw Ste 150, Marietta, GA 30060 | 2014-04-28 |
| 1346595741 | Ikram Malik | Physical Medicine & Rehabilitation | 335 Roselane St Nw, Marietta, GA 30060-7902 | 2012-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.