SOUTHWEST GEORGIA REHAB, INC – Physical Therapist, NPI 1902120587
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHWEST GEORGIA REHAB, INC
1107 GREER ST STE A-B
CORDELE, GA 310151920
Phone: (229) 273-9445
Fax: (229) 273-9447
Type: Location
1430 US Highway 82 W Ste 103
Tifton, GA 317938010
Phone: (229) 445-3255
Fax: (229) 445-3256
Type: Location
100 W Union St
Vienna, GA 310921055
Phone: (229) 521-1152
Fax: (229) 521-1050
Type: Location
201 W McPherson Ave
Nashville, GA 316392131
Phone: (229) 445-7176
Fax: (229) 389-2645
Type: Location
1001 Greer St
Cordele, GA 310152056
Phone: (229) 207-4004
Fax: (229) 394-0031
Type: Location
1556 E Forsyth St Ste A
Americus, GA 317093334
Phone: (229) 815-3565
Fax: (229) 815-3568
Type: Location
Greer Street, Cordele, Crisp County, Georgia, 31015, United States
CORDELE, GA 310151921
Phone: (229) 273-9445
Fax: (229) 273-9447
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
2
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100610000420 | O | Clinic/Group Practice | GA | 2023-08-31 |
| O20181206002464 | O | Independently-Practicing Physical Therapist | GA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 31015)
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