NPI age
8 years
Enumerated 2017-07-21
● Active Type 2 · Organization
Genesis Physiatry Llc
Genesis Physiatry Llc is 1 of 489 physical medicine & rehabilitation organizations in Georgia.
Primary specialty
Physical Medicine & Rehabilitation
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Alexander
Owner
Last NPPES update
2017-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 489 active physical medicine & rehabilitation providers in Georgia.
NPI age
8 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2101 Newnan Crossing Blvd E
Newnan, GA 302652406
Mailing address
Po Box 306
Fayetteville, GA 302140306
Authorized official
Ashli Phillips Alexander, M.D.
Owner
📞 4042263948
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Ismailu Agbaje, PHD MD Physical Medicine & Rehabilitation NPI 1336190776
- Malcolm Carson, MD Physical Medicine & Rehabilitation NPI 1164925947
- Lindsey Childs, MD Physical Medicine & Rehabilitation NPI 1437735560
- Barbara Gurciullo Occupational Therapy Assistant NPI 1508369596
- Susan Moody, APRN Nurse Practitioner NPI 1194773648
- Derek Scott, M.D. Physical Medicine & Rehabilitation NPI 1740377100
- Tekesa Walker, FNP Nurse Practitioner NPI 1386085090
Specialties
-
Physical Medicine & Rehabilitation PrimaryPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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