CEDAR GROVE REHAB LLC – Physical Medicine & Rehabilitation Physician, NPI 1255776613

CEDAR GROVE REHAB LLC is a healthcare provider. based in Ellenwood, Georgia. specializing in Physical Medicine & Rehabilitation Physician. The NPI Number for CEDAR GROVE REHAB LLC is 1255776613

Main info

Organization
Name
CEDAR GROVE REHAB LLC
NPI
1255776613
Phone
(404) 241-3280
Address
3395 BOULDERCREST RD
Authorized Official
MR. OTIS L BONNER III ATTORNEY
Enumeration Date
30 April 2013
Last Update Date
30 April 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for CEDAR GROVE REHAB LLC

  • 3395 BOULDERCREST RD

    ELLENWOOD, GA 302941639

    Phone: (404) 241-3280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30294)

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Frequently asked questions

Can I verify CEDAR GROVE REHAB LLC with an NPI only?
You can start verification with NPI 1255776613 for CEDAR GROVE REHAB LLC, then check state licensing separately.
Is CEDAR GROVE REHAB LLC still practicing?
CEDAR GROVE REHAB LLC is currently listed as active in the public NPI registry.
What is CEDAR GROVE REHAB LLC's primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for CEDAR GROVE REHAB LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect CEDAR GROVE REHAB LLC on a map?
Expect Ellenwood, Georgia as a primary anchor for CEDAR GROVE REHAB LLC unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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