PACESETTER PT SERVICES, INC (NPI# 1063749091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063749091 |
| Entity Type | Organization |
| Organization Name | PACESETTER PT SERVICES, INC |
| Practice Address |
2729 Black Shoals Rd Ne Conyers GA 30012-1901 |
| Practice Telephone | 4042719184 |
| Mailing Telephone | 4042719184 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | SANDRA SIMMS (PRESIDENT) |
| Authorized Official Telephone | 4042719184 |
| Authorized Official Credential | PT |
| 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 |
2729 BLACK SHOALS RD NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215176730 | Sandra Patricia Simms | Physical Therapist | 2729 Black Shoals Rd Ne, Conyers, GA 30012-1901 | 2009-02-05 |
| 1679712194 | Godfrey Samuel Simms | Physical Therapy Assistant | 2729 Black Shoals Rd Ne, Conyers, GA 30012-1901 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950665 | Team 3 Physical Therapy, LLC | Clinic/Center | 1227 Green St Se, Conyers, GA 30012-5409 | 2018-04-25 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1811319023 | Esop Rehabilitation LLC | Clinic/Center | 875 Flat Shoals Road, Suite 160, Conyers, GA 30094-6640 | 2014-01-08 |
| 1588836019 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 439 Sigman Rd Nw, Suite D, Conyers, GA 30012-3653 | 2008-03-25 |
| 1033128608 | Occupational Health Centers of Georgia PC | Clinic/Center | 1157 West Ave., Suite B, Conyers, GA 30012 | 2006-08-05 |
| 1225540396 | Remedy Home Therapy | Clinic/Center | 863 Flat Shoals Rd Se, Suite C #316, Conyers, GA 30094 | 2017-10-30 |
| 1104074913 | Health Rehabilitation Professionals | Clinic/Center | 923 Commercial St Ne, Conyers, GA 30012-4537 | 2008-09-04 |
| 1023273935 | Concentra Health Services, Inc. | Clinic/Center | 1157 West Ave, Suite B, Conyers, GA 30012-5280 | 2008-07-21 |
| 1619140753 | Business Intelligence Technology | Clinic/Center | 923 Commercial St Ne, Conyers, GA 30012-4537 | 2008-04-09 |
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| 1225646821 | Innovative Therapeutic Solutions, LLC | Clinic/Center | 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 | 2020-07-20 |
| 1669090544 | Active Body Physiotherapy | Clinic/Center | 2968 Ask Kay Dr Se Ste B, Smyrna, GA 30082-2304 | 2020-07-08 |
| 1487270914 | Docjay Physical Therapy | Clinic/Center | 6740 Shannon Pkwy Ste 14, Union City, GA 30291-2061 | 2020-06-20 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
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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.