NPI age
18 years
Enumerated 2008-03-25
● Active Type 2 · Organization
Sovereign Rehabilitation Of Georgia, Llc
Sovereign Rehabilitation Of Georgia, Llc is 1 of 627 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grodin
President
Last NPPES update
2008-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
18 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
495 Winn Way, Suite 120
Decatur, GA 300301736
Mailing address
5555 Peachtree Dunwoody Rd Ne, Suite 201
Atlanta, GA 303421703
Authorized official
Alan J Grodin
President
📞 4048353343
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Robert Conners, PT Physical Therapist NPI 1568531804
- John Fleck, PT, DPT Physical Therapist NPI 1811242993
- Alasia Hawkins Occupational Therapy Assistant NPI 1255169736
- Kevin Hurley, DPT Physical Therapist NPI 1629333968
- Joanna Leonardo Speech-Language Pathologist NPI 1194400903
- Marvan Porter, PT Physical Therapist NPI 1134459209
- Vanessa Volz Speech-Language Pathologist NPI 1629649538
- Bethani Walsh, DPT Physical Therapist NPI 1427137728
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CENTERS FOR ORTHOPEDIC REHAB
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.