P Praxis·MD
● Active Type 2 · Organization

Cedar Grove Rehab Llc

Physical Medicine & Rehabilitation·Ellenwood, GA· NPI 1255776613 · Enumerated 2013 · 13 years on NPI
Cedar Grove Rehab Llc is 1 of 489 physical medicine & rehabilitation organizations in Georgia.
NPI age
13 years
Enumerated 2013-04-30
Primary specialty
Physical Medicine & Rehabilitation
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bonner
Attorney
Last NPPES update
2013-04-30
Source: monthly bulk 2026-05

How this organization compares

Across 489 active physical medicine & rehabilitation providers in Georgia.

NPI age
13 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 31% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
3395 Bouldercrest Rd
Ellenwood, GA 302941639
📞 4042413280
Mailing address
3395 Bouldercrest Rd
Ellenwood, GA 302941639
📞 4042413280

Authorized official

Otis L Bonner
Attorney
📞 7709404975

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Physical Medicine & Rehabilitation Primary
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    taxonomy 208100000X
  • Chiropractor
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    taxonomy 111N00000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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