NPI age
15 years
Enumerated 2011-02-04
● Active Type 2 · Organization
Chbw Medical &rehab Clinic
Chbw Medical &rehab Clinic is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Idris
Partner
Last NPPES update
2011-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
15 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2636 Martin Luther King JR Dr Sw
Atlanta, GA 303111634
Mailing address
2636 Martin Luther King JR Dr Sw
Atlanta, GA 303111634
Authorized official
Beverly E Idris
Partner
📞 7702567033
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Russell Kawakami, LPC Counselor NPI 1851610695
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.