GEORGIA REHABILITATION CENTER INC (NPI# 1306010152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306010152 |
Entity Type | Organization |
Organization Name | GEORGIA REHABILITATION CENTER INC |
Practice Address |
101 Yorktown Dr Suite 211 Fayetteville GA 30214-1568 |
Mailing Address |
3150 Highway 34 E Pmb140 Newnan GA 30265-2122 |
Practice Telephone | 7704604054 |
Practice Fax Number | 7704604040 |
Mailing Telephone | 7702512060 |
Mailing Fax Number | 7702518567 |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-05-09 |
Authorized Official Name | RUSSELL A FOLEY (PRESIDENT) |
Authorized Official Telephone | 7702547851 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
101 YORKTOWN DR SUITE 211 |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-1568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902856115 | Dawn Leilani Paletta | Physician Assistant | 101 Yorktown Dr, Fayetteville, GA 30214-1568 | 2006-05-10 |
1710385513 | Privia Pediatric Medical Group of Georgia LLC | Pediatrics | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2014-12-10 |
1013313857 | Privia Medical Group of Georgia LLC | Internal Medicine | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2014-11-05 |
1730580010 | Wendy E Swayne | Nurse Practitioner | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-1578 | 2014-09-05 |
1275965634 | Megan Michelle Hanse | Nurse Practitioner | 101 Yorktown Dr, Suite 110, Fayetteville, GA 30214-1578 | 2013-08-07 |
1316298870 | Michael Allen Mccullough | Nurse Practitioner | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2012-09-25 |
1407143852 | Alaina D'amato Burran | Physician Assistant | 101 Yorktown Dr, Suite 207, Fayetteville, GA 30214-1578 | 2011-07-06 |
1356632962 | Suhas Joe Samuel | Family Medicine | 101 Yorktown Dr, Suite 110, Fayetteville, GA 30214-1578 | 2011-04-29 |
1932416617 | Gina D Wise | Technician/Technologist | 101 Yorktown Dr, Suite 225, Fayetteville, GA 30214-1568 | 2010-09-02 |
1184948549 | Mukti Bhatia Kanji | Family Medicine | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-1568 | 2010-03-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1578110813 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-08-21 |
1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
1427218106 | Agape Sports Performance Wellness and Rehab | Clinic/Center | 402 Beckett Lane, Fayetteville, GA 30214 | 2008-06-16 |
1801446711 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-09-13 |
1245713080 | Held Rehabilitation Services, LLC | Clinic/Center | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2018-09-07 |
1407343502 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 1702 Owen Dr, Fayetteville, NC 28304-3419 | 2018-04-16 |
1851743009 | Rise Physical Therapy, P.a. | Clinic/Center | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 | 2016-07-11 |
1427330737 | Select Physical Therapy | Clinic/Center | 2550 Ravenhill Dr, Fayetteville, NC 28303-9627 | 2011-09-13 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 30214 |
Please comment or provide details below to improve the information on GEORGIA REHABILITATION CENTER INC.
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.