Provider Type Icon

SOUTH ATLANTA JOINT & REHAB NPI 1073160404


NPI Information

NPI: 1073160404
Provider Name: SOUTH ATLANTA JOINT & REHAB
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2163345

Address:
541 FOREST PKWY STE 14
FOREST PARK, GA
ZIP 30297
Phone: (706) 404-9011
Get Directions

SOUTH ATLANTA JOINT & REHAB is a family medicine in Forest Park, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH ATLANTA JOINT & REHAB NPI is 1073160404. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

541 FOREST PKWY STE 14
FOREST PARK, GA
ZIP 30297-110
Phone: (706) 404-9011

The provider's authorized official is Stephen B Cooper .
The authorized official title is Owner and has the following contact phone number (877) 495-7773.

The CLIA number assigned to this NPI record is 11D2163345 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.