OrganizationActive
South Atlanta Medical and Rehabilitation, LLC
NPI 1063671915 · Specialist · Fayetteville, GA
South Atlanta Medical and Rehabilitation, LLC is a Specialist organization in Fayetteville, GA (NPI 1063671915).
Provider details
- NPI number
- 1063671915
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Joshua Lewis, Billing Director(678) 943-2697
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
288 Highway 314
Suite C
Fayetteville, GA 30214-7830
Phone: (678) 817-4053
Fax: (678) 817-4058
Street-level locationGet directions
Mailing address
288 Highway 314
Fayetteville, GA 30214-7830
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2008-06-05
Frequently asked questions
- What is South Atlanta Medical and Rehabilitation, LLC's NPI number?
- South Atlanta Medical and Rehabilitation, LLC's National Provider Identifier (NPI) is 1063671915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlanta Medical and Rehabilitation, LLC?
- South Atlanta Medical and Rehabilitation, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is South Atlanta Medical and Rehabilitation, LLC located?
- South Atlanta Medical and Rehabilitation, LLC's practice location on file with NPPES is 288 Highway 314, Fayetteville, GA 30214-7830.
- What is South Atlanta Medical and Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Atlanta Medical and Rehabilitation, LLC is (678) 817-4053.
- Who is the authorized official for South Atlanta Medical and Rehabilitation, LLC?
- The authorized official listed on South Atlanta Medical and Rehabilitation, LLC's NPPES record is Joshua Lewis, Billing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Atlanta Medical and Rehabilitation, LLC's NPI active?
- Yes — South Atlanta Medical and Rehabilitation, LLC's NPI (1063671915) is active in the NPPES registry as of the last update on 2008-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.