NPI age
15 years
Enumerated 2011-01-24
● Active Type 2 · Organization
Corvic Group
Corvic Group 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
Watson
Business Manager/director
Last NPPES update
2011-01-24
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
15 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
107 Peacock Dr
Warner Robins, GA 310883637
Mailing address
102 Wooden Eagle Trl
Kathleen, GA 310474137
Authorized official
Simon Victor Watson
Business Manager/director
📞 4789196835
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Omorogiuwa Iguobadia, MD Pediatrics NPI 1841639713
- Keilah Jones, CPNP-PC Nurse Practitioner NPI 1821569716
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.
-
Physio Lab
Practice context
Multi-provider organization. 2 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.