Sovereign Rehabilitation of Georgia, LLC
NPI 1194267260ActiveOrganization· Physical Therapist· Conyers, GA
Physical Therapist in Conyers, Georgia, registered in NPPES in November 2016. The authorized official on file is Colette Johnson, Vp Of Operations.
Overview
| NPI | 1194267260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2016 |
| Last updated in NPPES | Nov 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT008054 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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