ADVANCED HEALTH WELLNESS & REHAB (NPI# 1861802985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861802985 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTH WELLNESS & REHAB |
| Practice Address |
1867 Lawrenceville Hwy Decatur GA 30033-5729 |
| Practice Telephone | 4046005624 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | KEESHA SPIVA (OWNER) |
| Authorized Official Telephone | 6789387542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1867 LAWRENCEVILLE HWY |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760823256 | Urban Temple Studio 107 | Case Management | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2013-07-11 |
| 1548672512 | Bj Med Clinic LLC | Legal Medicine | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-27 |
| 1417369695 | Stephanie Jones | Specialist | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-22 |
| 1265844468 | Bj Med Clinic LLC | Legal Medicine | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-22 |
| 1265860472 | Healing Hands LLC | Health Educator | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2013-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1730288275 | Elyse Burton | Rehabilitation Practitioner | 2371 Tanglewood Rd, Decatur, GA 30033-2006 | 2006-09-21 |
| 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 | ||||
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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.