1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Physical Medicine Rehabilitation
  6. NPI Profile

SOUTHEAST REHABILITATION CORP
NPI 1093727067
Physical Medicine & Rehabilitation - Pain Medicine in Macon, GA

Active since August 11, 2006
3312 NORTHSIDE DR STE A110, MACON, GA 31210(478) 477-2314(478) 477-3599 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeast Rehabilitation Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST REHABILITATION CORP (NPI 1093727067) is a healthcare organization registered as a pain medicine in Macon, Georgia and active in the NPI registry since August 2006. The organization lists Victoria Mansour, Owner, as its authorized official.

NPPES Registry Identity

NPI1093727067
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSOUTHEAST REHABILITATION CORP
Location Address3312 NORTHSIDE DR STE A110Macon, GA 31210-2520
Mailing Address3312 Northside Dr Ste A110Macon, GA 31210-2520 · (478) 477-2314 · Fax (478) 477-3599
Phone(478) 477-2314
Fax(478) 477-3599
Organization SubpartNo
Authorized OfficialVictoria MansourOwner · (478) 477-2314
Enumeration DateAugust 11, 2006
Last NPPES UpdateNovember 20, 2007
✔ NPI 1093727067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
3312 NORTHSIDE DR STE A110, Macon, GA 31210
Open in Google Maps ↗

Other Identifiers 1

Medicare PINGRP6554

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Rehabilitation Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Rehabilitation Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Victoria Mansour, MD
Physical Medicine and Rehabilitation
NPI 1265444228
3312 NORTHSIDE DR STE A110
Macon, GA 31210
(478) 477-2314
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Rehabilitation Corp's NPI number?

The NPI number for Southeast Rehabilitation Corp is 1093727067. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Southeast Rehabilitation Corp located?

Southeast Rehabilitation Corp is located at 3312 Northside Dr Ste A110, Macon, GA 31210. The listed phone number is (478) 477-2314.

What is Southeast Rehabilitation Corp's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Southeast Rehabilitation Corp enrolled in Medicare?

Yes. Southeast Rehabilitation Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Rehabilitation Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Southeast Rehabilitation Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Rehabilitation Corp was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.