NPI age
20 years
Enumerated 2006-05-22
● Active Type 2 · Organization
Subpart
Eastside Medical Center, Llc
Eastside Medical Center, Llc is 1 of 62 rehabilitation unit organizations in Georgia.
Primary specialty
Rehabilitation Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cross
Vp Government Reimbursement
Last NPPES update
2024-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 62 active rehabilitation unit providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2160 Fountain Dr
Snellville, GA 300787022
Mailing address
1700 Medical Way
Snellville, GA 300782195
Authorized official
Robert C Cross
Vp Government Reimbursement
📞 4702713401
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Robin Boggess, NP Nurse Practitioner NPI 1235388935
- Amanda Childers Behavior Technician NPI 1568174811
- Melissa Gray, PMHNP Nurse Practitioner NPI 1457839219
- Jae Pak, M.D. Psychiatry & Neurology NPI 1740280551
- Kimberly Schiavoni, NP Nurse Practitioner NPI 1114308475
- Cathleen Scully, N.P. Nurse Practitioner NPI 1336129303
- Russell Wagner, M.D. Internal Medicine NPI 1730168832
Specialties
-
Rehabilitation Unit PrimaryIn general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Piedmont Eastside Medical Center
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Eastside Medical Center, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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