Southwest Georgia Rehab, Inc
NPI 1902120587 · Physical Therapist · Cordele, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest Georgia Rehab, Inc is a Physical Therapist organization in Cordele, GA (NPI 1902120587).
Provider details
- NPI number
- 1902120587
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Stacey Hathcock, Owner(229) 273-9445
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Additional practice locations (5)
- 1556 E Forsyth St Ste aAmericus, GA 31709-3334Phone: (229) 815-3565Fax: (229) 815-3568
- 1001 Greer StCordele, GA 31015-2056Phone: (229) 207-4004Fax: (229) 394-0031
- 201 W Mcpherson AveNashville, GA 31639-2131Phone: (229) 445-7176Fax: (229) 389-2645
- 1430 US Highway 82 W Ste 103Tifton, GA 31793-8010Phone: (229) 445-3255Fax: (229) 445-3256
- 100 W Union StVienna, GA 31092-1055Phone: (229) 521-1152Fax: (229) 521-1050
Registry dates
- Enumerated
- 2010-03-25
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Southwest Georgia Rehab, Inc's NPI number?
- Southwest Georgia Rehab, Inc's National Provider Identifier (NPI) is 1902120587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Georgia Rehab, Inc?
- Southwest Georgia Rehab, Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Southwest Georgia Rehab, Inc located?
- Southwest Georgia Rehab, Inc's practice location on file with NPPES is 1107 Greer St Ste A-B, Cordele, GA 31015-1920.
- What is Southwest Georgia Rehab, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southwest Georgia Rehab, Inc is (229) 273-9445.
- Does Southwest Georgia Rehab, Inc accept Medicare?
- Southwest Georgia Rehab, Inc 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 Southwest Georgia Rehab, Inc?
- The authorized official listed on Southwest Georgia Rehab, Inc's NPPES record is Stacey Hathcock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Georgia Rehab, Inc's NPI active?
- Yes — Southwest Georgia Rehab, Inc's NPI (1902120587) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.