CENTRAL GEORGIA REHABILITATION (NPI# 1366450710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366450710 |
Entity Type | Organization |
Organization Name | CENTRAL GEORGIA REHABILITATION |
Practice Address |
3351 Northside Dr Macon GA 31210 |
Mailing Address |
3351 Northside Dr Macon GA 31210-2587 |
Practice Telephone | 4782016500 |
Practice Fax Number | 4787570835 |
Mailing Telephone | 4782016500 |
Mailing Fax Number | 4787570835 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2020-02-10 |
Authorized Official Name | CHRIS WILDE (EVP / ENTERPRISE CFO) |
Authorized Official Telephone | 4786331452 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | 011-561 | GA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE PART B PTAN | 202G706464 | 01 |
Street Address |
3351 NORTHSIDE DR |
City | MACON |
State | GA |
Zip Code | 31210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215915277 | Dawn Waddell Key | Nurse Practitioner | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-01-09 |
1639731615 | Kristin Kidd Settles | Nurse Practitioner | 3351 Northside Dr, Macon, GA 31210-2587 | 2019-07-01 |
1295222636 | Rehabilitation Physician Specialists of Georgia, PC | Physical Medicine & Rehabilitation | 3351 Northside Dr, Macon, GA 31210-2587 | 2018-04-20 |
1912443466 | Janet Lindsey Findlay | Nurse Practitioner | 3351 Northside Dr, Macon, GA 31210-2587 | 2017-01-09 |
1346484763 | Trista Jacinta Marshall | Physical Medicine & Rehabilitation | 3351 Northside Dr, Macon, GA 31210-2587 | 2009-04-29 |
1174689517 | Worldcare International Corp. | Physical Therapist | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-12-29 |
1285795831 | Judie A. Dumelod | Physical Therapist | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-12-13 |
1992881833 | Allison Paige Scheetz | Internal Medicine | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-10-31 |
1669582649 | Michael H. Rivner | Psychiatry & Neurology | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-08-30 |
1083669899 | Robert Alvin Foster IIi | Clinical Neuropsychologist | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477880854 | Beth Powell | Rehabilitation Hospital | 4631 Windcroft Cir, Hoschton, GA 30548-3484 | 2009-11-05 |
1093878803 | William John Ellis | Rehabilitation Hospital | 3624 J Dewey Gray Cir Ste 302, Doctors Hospital Sports Medicine, Augusta, GA 30909-6580 | 2006-12-19 |
1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
1902872310 | Theraneeds, Inc | Rehabilitation Hospital | 5107 Panola Mill Dr, Lithonia, GA 30038-2352 | 2006-02-24 |
1346242682 | Ridgeview Institute,inc | Rehabilitation Hospital | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2005-06-01 |
1750384368 | Department of Human Services | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-1000 | 2005-05-27 |
1972909109 | Encompass Health Rehabilitation Hospital of Savannah, LLC | Rehabilitation Hospital | 6510 Seawright Dr, Savannah, GA 31406-2752 | 2014-11-17 |
1982019006 | Encompass Health Rehabilitation Hospital of Newnan, LLC | Rehabilitation Hospital | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2014-06-26 |
1760892657 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-05-01 |
1548698723 | Es Rehabilitation LLC | Rehabilitation Hospital | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2013-10-24 |
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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.