Prime Healthcare Foundation - Southern Regional, LLC
NPI 1679946669 · Rehabilitation Hospital Unit · Riverdale, GA
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Healthcare Foundation - Southern Regional, LLC is a Rehabilitation Hospital Unit organization in Riverdale, GA (NPI 1679946669).
Provider details
- NPI number
- 1679946669
- Entity type
- Organization
- Primary specialty
- Rehabilitation Hospital UnitHospital Units
- Parent organization
- Prime Healthcare Foundation - Southern Regional, LLC
- Organization subpart
- Yes
- Authorized official
- Christopher Doan, Chief Compliance Counsel(909) 235-4307
Specialties & taxonomies
Hospital Units
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-11-12
- Last updated
- 2015-11-12
Frequently asked questions
- What is Prime Healthcare Foundation - Southern Regional, LLC's NPI number?
- Prime Healthcare Foundation - Southern Regional, LLC's National Provider Identifier (NPI) is 1679946669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Healthcare Foundation - Southern Regional, LLC?
- Prime Healthcare Foundation - Southern Regional, LLC is classified in the NPPES registry as Rehabilitation Hospital Unit (Hospital Units).
- Where is Prime Healthcare Foundation - Southern Regional, LLC located?
- Prime Healthcare Foundation - Southern Regional, LLC's practice location on file with NPPES is 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615.
- What is Prime Healthcare Foundation - Southern Regional, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Healthcare Foundation - Southern Regional, LLC is (770) 991-8000.
- Does Prime Healthcare Foundation - Southern Regional, LLC accept Medicare?
- Prime Healthcare Foundation - Southern Regional, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Healthcare Foundation - Southern Regional, LLC?
- The authorized official listed on Prime Healthcare Foundation - Southern Regional, LLC's NPPES record is Christopher Doan, Chief Compliance Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Healthcare Foundation - Southern Regional, LLC's NPI active?
- Yes — Prime Healthcare Foundation - Southern Regional, LLC's NPI (1679946669) is active in the NPPES registry as of the last update on 2015-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.