OrganizationActive
Southern Therapy Associates
NPI 1013253376 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Edison, GA
Provider details
- NPI number
- 1013253376
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tasha West, Cota/L Owner(229) 359-0741
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19350 Hartford St
Edison, GA 39846-5617
Phone: (229) 359-0741
Fax: (229) 835-2119
Street-level locationGet directions
Mailing address
Po Box 746
Edison, GA 39846-0746
Registry dates
- Enumerated
- 2012-12-13
- Last updated
- 2012-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.