P Praxis·MD
● Active Type 2 · Organization

Agewell Rehab And Fitness, Llc

Clinic/Center·Roswell, GA· NPI 1366800534 · Enumerated 2016 · 10 years on NPI
Agewell Rehab And Fitness, Llc is 1 of 152 clinic/center organizations in Georgia.
NPI age
10 years
Enumerated 2016-02-03
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ivey
Organizer
Last NPPES update
2021-12-15
Source: monthly bulk 2026-05

How this organization compares

Across 152 active clinic/center providers in Georgia.

NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
4060 Inverness Xing
Roswell, GA 300754781
📞 4048238157fax 8888776415
Mailing address
4060 Inverness Xing
Roswell, GA 300754781
📞 4048238157fax 8888776415

Authorized official

William Ivey
Organizer
📞 4048238157

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #PT005195 taxonomy 261QR0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Provyx · Custom healthcare lists

Need all 152 Clinic/Center providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related