OrganizationActive
Sundance
NPI 1629312079 · Skilled Nursing Facility · Marietta, GA
Sundance is a Skilled Nursing Facility organization in Marietta, GA (NPI 1629312079).
Provider details
- NPI number
- 1629312079
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- No
- Organization subpart
- Yes
- Authorized official
- Shemily Mathew, PT(207) 992-6007
- License
- PT010530 (GA)
Specialties & taxonomies
Nursing & Custodial 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
145 Cox Farm Rd Nw
Marietta, GA 30064-5059
Phone: (207) 992-6007
Street-level locationGet directions
Mailing address
145 Cox Farm Rd Nw
Marietta, GA 30064-5059
Registry dates
- Enumerated
- 2012-11-23
- Last updated
- 2012-11-23
Frequently asked questions
- What is Sundance's NPI number?
- Sundance's National Provider Identifier (NPI) is 1629312079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sundance?
- Sundance is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sundance located?
- Sundance's practice location on file with NPPES is 145 Cox Farm Rd Nw, Marietta, GA 30064-5059.
- What is Sundance's phone number?
- The practice phone number listed in the NPPES registry for Sundance is (207) 992-6007.
- Who is the authorized official for Sundance?
- The authorized official listed on Sundance's NPPES record is Shemily Mathew, PT. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sundance's NPI active?
- Yes — Sundance's NPI (1629312079) is active in the NPPES registry as of the last update on 2012-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.