NPI age
15 years
Enumerated 2010-07-28
● Active Type 2 · Organization
Provenance Rehabilitation
Provenance Rehabilitation 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
Hunt
Owner
Last NPPES update
2014-06-02
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 · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
11975 Morris Rd, Suite 310
Alpharetta, GA 300054419
Mailing address
310 Aurelia Trce
Milton, GA 300044358
Authorized official
Jennifer Busbee Hunt, P.T.
Owner
📞 6785709500
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Kerianne Anastasia, RN, NP Nurse Practitioner NPI 1306046024
- Lauren Braswell, RN, CNM Advanced Practice Midwife NPI 1033309828
- Toya Claxton, CSA Specialist/Technologist, Other NPI 1154789915
- Mary Daker, RN, CNM Midwife NPI 1790902484
- Michelle Dodder, M.D. Obstetrics & Gynecology NPI 1134115967
- Michael Echemendia, M.D. Obstetrics & Gynecology NPI 1255320719
- Elizabeth Edmondson, RN, CNM Midwife NPI 1558573402
- Jose Garcia, M.D. Obstetrics & Gynecology NPI 1427036219
- Meera Garcia, M.D. Obstetrics & Gynecology NPI 1912994021
- Joy Grant, CNM Midwife NPI 1548201759
- Anastasia Green, NP Nurse Practitioner NPI 1598388092
- Stephanie Grogan, M.D. Obstetrics & Gynecology NPI 1619954526
- Jenny Grossman, M.D. Obstetrics & Gynecology NPI 1932198413
- Ginnene Hall, RN, CNP Nurse Practitioner NPI 1912103623
- Amy Hannula, CNM Advanced Practice Midwife NPI 1760865752
- Hilton Howard, M.D. Obstetrics & Gynecology NPI 1548259443
- John Lee, M.D. Obstetrics & Gynecology NPI 1780685883
- Elizabeth Leggett, CNM Advanced Practice Midwife NPI 1346581121
- Michael McDaniel, M.D. Obstetrics & Gynecology NPI 1912963273
- Shapour Mobasser, M.D. Specialist NPI 1134106040
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...
Practice context
Multi-provider organization. 20 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 →
- 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.