SOVEREIGN REHABILITATION OF GEORGIA, LLC (NPI# 1407028921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407028921 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN REHABILITATION OF GEORGIA, LLC |
| Other Organization Name | CENTERS FOR ORTHOPEDIC REHAB |
| Practice Address |
3280 Howell Mill Rd Nw Suite 345 Atlanta GA 30327-4111 |
| Mailing Address |
5555 Peachtree Dunwoody Rd Ne Suite 201 Atlanta GA 30342-1703 |
| Practice Telephone | 4044770427 |
| Practice Fax Number | 4044770447 |
| Mailing Telephone | 4048353343 |
| Mailing Fax Number | 4042071391 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-07-19 |
| Authorized Official Name | ALAN J GRODIN (PRESIDENT) |
| Authorized Official Telephone | 4048353343 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT000701 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| CENTERS FOR ORTHOPEDIC REHAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215109749 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 3541 Highway 81, Loganville, GA 30052-4336 | 2008-03-25 |
| 1588836019 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 439 Sigman Rd Nw, Suite D, Conyers, GA 30012-3653 | 2008-03-25 |
| 1194267260 | Sovereign Rehabilitation of Georgia, LLC | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-07 |
| 1326210840 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 495 Winn Way, Suite 120, Decatur, GA 30030-1736 | 2008-03-25 |
| 1144492661 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30045-4426 | 2008-03-25 |
| 1376756197 | Sovereign Rehabilitation of Georgia, LLC | Occupational Therapist | 5555 Peachtree Dunwoody Rd Ne, Suite 201, Atlanta, GA 30342-1703 | 2007-05-08 |
| Street Address |
3280 HOWELL MILL RD NW SUITE 345 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522023 | Lee Robert Anisman | Internal Medicine | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2005-07-21 |
| 1952841447 | Ophthalmic Plastic and Cosmetic Surgery, LLC. | Ophthalmology | 3280 Howell Mill Rd Nw, Suite 321, Atlanta, GA 30327-4111 | 2017-03-02 |
| 1891145561 | Paragon Sports Medicine LLC | Preventive Medicine | 3280 Howell Mill Rd Nw, Ste 250, Atlanta, GA 30327-4111 | 2016-06-14 |
| 1023431376 | Amber Joy Golay | Physical Therapist | 3280 Howell Mill Rd Nw, Atlanta, GA 30327-4111 | 2014-01-22 |
| 1164783841 | Albert Baawo Jr Dmd PC | Dentist | 3280 Howell Mill Rd Nw, East Wing Suite 315, Atlanta, GA 30327-4111 | 2012-05-30 |
| 1598035123 | Terry J. Orme, Phd, P.C. | Psychologist | 3280 Howell Mill Rd Nw, Suite 250, Atlanta, GA 30327-4111 | 2012-01-12 |
| 1376812834 | Jason Mark Nash | Pharmacist | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2011-12-29 |
| 1922389469 | Pride Medical Services, PC | Internal Medicine | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2011-08-29 |
| 1477869931 | Georgia Health & Wellness Corporation | Specialist | 3280 Howell Mill Rd Nw, Suite 304, Atlanta, GA 30327-4111 | 2010-08-23 |
| 1104145614 | Paces Ferry Oral Surgery, LLC | Dentist | 3280 Howell Mill Rd Nw, #240, Atlanta, GA 30327-4111 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821538216 | Ariana Madrid | Occupational Therapist | 2061 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1445 | 2017-03-03 |
| 1770746729 | Alexis Ventimglia Najarro | Occupational Therapist | 2061 Peachtree Road, Suite 500, Atlanta, GA 30309 | 2008-07-09 |
| 1972557437 | The Hand & Upper Extremity Rehabilitation Center of Georgia LLC | Occupational Therapist | 980 Johnson Ferry Rd N.e., Suite 1000, Atlanta, GA 30342 | 2006-05-20 |
| 1184150765 | Megan Elizabeth Stevens | Occupational Therapist | 980 Johnson Fy Rd Ne, Suite 1020, Atlanta, GA 30342-1626 | 2017-05-03 |
| 1336427327 | Kelli Ann Wolfman | Occupational Therapist | 1819 Peachtree Rd Ne, Suite 102, Atlanta, GA 30309-1848 | 2011-07-26 |
| 1871759571 | Sheri Elizabeth Roberts | Occupational Therapist | 105 Collier Rd Nw, Suite 2000, Atlanta, GA 30309-1710 | 2008-08-01 |
| 1528251345 | Regina Brock-huff | Occupational Therapist | 1819 Peachtree Rd Ne, Suite 425, Atlanta, GA 30309-1848 | 2007-08-24 |
| 1376756197 | Sovereign Rehabilitation of Georgia, LLC | Occupational Therapist | 5555 Peachtree Dunwoody Rd Ne, Suite 201, Atlanta, GA 30342-1703 | 2007-05-08 |
| 1760602106 | Leanne Grace Mihelick | Occupational Therapist | 4370 Georgetown Sq, Atlanta, GA 30338-6205 | 2007-04-26 |
| 1245358209 | Dawn Irene Bowen | Occupational Therapist | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2007-03-27 |
| Find all providers in ATLANTA | ||||
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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.