PRO HEALTH AND REHAB LLC – Rehabilitation Chiropractor, NPI 1982887543

PRO HEALTH AND REHAB LLC is a healthcare provider. based in Marietta, Georgia. specializing in Rehabilitation Chiropractor. The organization holds a License No. 39009 (GA). The NPI Number for PRO HEALTH AND REHAB LLC is 1982887543

Main info

Organization
Name
PRO HEALTH AND REHAB LLC
NPI
1982887543
Phone
(678) 567-2313
Address
2453 POWDER SPRINGS RD SW
Authorized Official
STEFAN CHARLES G SABOURA OWNER/ PROVIDER DC
Enumeration Date
6 December 2007
Last Update Date
13 December 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:18State licenses:4Digital endpointsOther names

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Provider Addresses for PRO HEALTH AND REHAB LLC

  • Powder Springs Road, Marietta, Cobb, Georgia, 30008, United States

    SUITE 215

    MARIETTA, GA 300644570

    Phone: (678) 567-2313

    Fax: (855) 771-9101

    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.

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: 2012-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (287 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120813000837OClinic/Group PracticeGA2025-08-31

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.

Verify on CMS Revalidation Lookup Tool

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 30064)

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Reviews

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Frequently asked questions

How do I look up PRO HEALTH AND REHAB LLC by NPI?
Use NPI 1982887543 when you need to reference PRO HEALTH AND REHAB LLC in forms, claims, or directories.
Is PRO HEALTH AND REHAB LLC currently active in the NPI registry?
CMS-published data lists PRO HEALTH AND REHAB LLC as an active registrant.
Can you summarize PRO HEALTH AND REHAB LLC's specialty in plain language?
Clinically, the directory lists PRO HEALTH AND REHAB LLC with Rehabilitation Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for PRO HEALTH AND REHAB LLC?
The page summarizes Marietta, Georgia for PRO HEALTH AND REHAB LLC; expand the address list for detail.
Is PRO HEALTH AND REHAB LLC a real provider?
This page reflects official NPPES data for NPI 1982887543. Always confirm identity and privileges with the practice and licensing boards.

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