OrganizationActive
Sports Medicine and Rehabilitative Therapy
NPI 1982921771 · Specialist · Jesup, GA
Provider details
- NPI number
- 1982921771
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gregory White, Owner(912) 385-2333
- License
- 26436 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
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
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
182 Sunset Blvd
Jesup, GA 31545-0401
Phone: (912) 385-2333
Fax: (912) 385-2350
Street-level locationGet directions
Mailing address
Po Box 5048
Macon, GA 31208-5048
Other names (DBA / former)
- Doing business as
- Smart
Registry dates
- Enumerated
- 2010-05-03
- Last updated
- 2011-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.