SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC – NPI #1063805091
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC is a provider located in ATLANTA, GA. NPPES has assigned the NPI number 1063805091 to SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC on March 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC below.

NPI Profile for
SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC

NPI Number
1063805091
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC
Primary location
495 85 CIRCLE
SUITE 100
ATLANTA, GA 30349
Phone: (678) 705-1733 Fax: (678) 573-5039
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DALE CAREY
OWNER
Phone: (678) 705-1733
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.