REHABILITATION MEDICINE AND EMG CENTER (NPI# 1811132368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811132368 |
Entity Type | Organization |
Organization Name | REHABILITATION MEDICINE AND EMG CENTER |
Other Organization Name | CENTER FOR PAIN AND REHAB MEDICINE |
Practice Address |
240 Medical Blvd Stockbridge GA 30281-5086 |
Practice Telephone | 6782844000 |
Practice Fax Number | 6782846500 |
Mailing Telephone | 6782844000 |
Mailing Fax Number | 6782846500 |
Enumeration Date | 2008-12-12 |
Last Update Date | 2012-02-16 |
Authorized Official Name | DR. D TERRENCE FOSTER (CEO) |
Authorized Official Telephone | 6782844000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 049232 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000883154B | 05 |
Other Name | Type Code |
---|---|
Center for Pain and Rehab Medicine | Doing Business As Name - Organization |
Street Address |
240 MEDICAL BLVD |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-5086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013900976 | D. Terrence Foster | Physical Medicine & Rehabilitation | 240 Medical Blvd, Stockbridge, GA 30281-5086 | 2005-08-25 |
1013157569 | Jennifer Nicole Garrett | Physician Assistant | 240 Medical Blvd, Stockbridge, GA 30281-5086 | 2009-02-24 |
1043493513 | David Sahid Gunn | Physical Therapist | 240 Medical Blvd, Stockbridge, GA 30281-5086 | 2007-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881170363 | Synergy Rehab Atlanta, LLC | Rehabilitation Practitioner | 3903 S Cobb Dr Se Ste 250, Smyrna, GA 30080-8504 | 2018-07-17 |
1316390107 | Total Wellness & Rehab Center LLC | Rehabilitation Practitioner | 153 Lee Byrd Rd, Loganville, GA 30052-2310 | 2016-07-18 |
1407226699 | Keisha Diallo | Rehabilitation Practitioner | 233 Ardsley Pl, Norcross, GA 30093-5207 | 2015-09-30 |
1235434283 | Advance Rehabilitation & Consulting Limited Partnership | Rehabilitation Practitioner | 100 Lindsey Ln Ste A, Saint Marys, GA 31558-1727 | 2011-01-24 |
1548587694 | Bryan Davis Beasley | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2010-04-29 |
1992029987 | Henry Ogbuagu | Rehabilitation Practitioner | 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | 2010-03-18 |
1760657159 | Pos Inc | Rehabilitation Practitioner | 1237 Salem Gate Way Se, Conyers, GA 30013-1637 | 2008-04-25 |
1598983728 | Yong Jian Liu | Rehabilitation Practitioner | 6244 Crooked Creek Rd, Ste B, Peachtree Corners, GA 30092-6137 | 2007-04-23 |
1679799696 | Mary Florene Radke | Rehabilitation Practitioner | 500 Sawtell Pl, Brunswick, GA 31520-1224 | 2007-04-18 |
1144358904 | Douglas James Mackay | Rehabilitation Practitioner | 611 W Smith St, Claxton, GA 30417-1851 | 2007-03-01 |
Find all providers with the same taxonomy |
City | STOCKBRIDGE |
Zip Code | 30281 |
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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.