NPI age
16 years
Enumerated 2010-05-03
● Active Type 2 · Organization
Sports Medicine And Rehabilitative Therapy
Sports Medicine And Rehabilitative Therapy is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
White
Owner
Last NPPES update
2011-05-09
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
16 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-05Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
182 Sunset Blvd
Jesup, GA 315450401
Mailing address
Po Box 5048
MacOn, GA 312085048
Authorized official
Gregory White, MD
Owner
📞 9123852333
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Randy Lentz, M.D. Family Medicine NPI 1205832227
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DQ8290 | RAILROAD MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SMART
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.