St. Mary Spine and Sport Injuries Rehab
NPI 1992479596 · Internal Medicine Physician · Bloomingdale, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Mary Spine and Sport Injuries Rehab is a Internal Medicine Physician organization in Bloomingdale, GA (NPI 1992479596).
Provider details
- NPI number
- 1992479596
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Noha Soliman, Provider/Owner(912) 508-8828
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 52 Traders WayPooler, GA 31322-4158Phone: (912) 999-7275
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is St. Mary Spine and Sport Injuries Rehab's NPI number?
- St. Mary Spine and Sport Injuries Rehab's National Provider Identifier (NPI) is 1992479596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Mary Spine and Sport Injuries Rehab?
- St. Mary Spine and Sport Injuries Rehab is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St. Mary Spine and Sport Injuries Rehab located?
- St. Mary Spine and Sport Injuries Rehab's practice location on file with NPPES is 502 E US Highway 80 Ste D, Bloomingdale, GA 31302-9356.
- What is St. Mary Spine and Sport Injuries Rehab's phone number?
- The practice phone number listed in the NPPES registry for St. Mary Spine and Sport Injuries Rehab is (912) 999-7275.
- Does St. Mary Spine and Sport Injuries Rehab accept Medicare?
- St. Mary Spine and Sport Injuries Rehab 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 St. Mary Spine and Sport Injuries Rehab?
- The authorized official listed on St. Mary Spine and Sport Injuries Rehab's NPPES record is Noha Soliman, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Mary Spine and Sport Injuries Rehab's NPI active?
- Yes — St. Mary Spine and Sport Injuries Rehab's NPI (1992479596) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.