SOUTHERN PELVIC HEALTH, LLC
NPI 1528616190
Clinic/Center - Physical Therapy in Marietta, GA

Active since August 27, 2019
601 WOODLAWN DR NE STE 100, MARIETTA, GA 30067(770) 415-4815 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Pelvic Health, Llc NPPES

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

SOUTHERN PELVIC HEALTH, LLC (NPI 1528616190) is a healthcare organization registered as a physical therapy in Marietta, Georgia and active in the NPI registry since August 2019. The organization lists Jessica Reale, Owner, as its authorized official.

NPPES Registry Identity

NPI1528616190
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSOUTHERN PELVIC HEALTH, LLC
Location Address601 WOODLAWN DR NE STE 100Marietta, GA 30067-3504
Mailing Address300 Somerset Ln SeMarietta, GA 30067-4310 · (719) 429-6371
Organization SubpartNo
Authorized OfficialJessica RealeOwner · (719) 429-6371
Enumeration DateAugust 27, 2019
✔ NPI 1528616190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
601 WOODLAWN DR NE STE 100, Marietta, GA 30067

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Pelvic Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Pelvic Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1568193498
1503 JOHNSON FERRY RD STE 100
Marietta, GA 30062
(770) 415-4815
1.6 mi
Physical Therapist in Private Practice
NPI 1083952394
756 NEESE RD
Woodstock, GA 30188
(770) 517-5513
10 mi
Physical Therapist in Private Practice
NPI 1467113407
2253 VIRGINIA PLACE NE
Atlanta, GA 30305
(404) 467-4900
10 mi
Physical Therapist in Private Practice
NPI 1780130120
2801 N DECATUR RD SUITE 230
Decatur, GA 30033
(404) 294-7211
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1528517026
286 MADISON AVE STE 1601
New York, NY 10017
(929) 269-2505
740 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 Southern Pelvic Health, LLC's NPI number?

The NPI number for Southern Pelvic Health, LLC is 1528616190. It was assigned to this organization in the NPPES registry on August 27, 2019.

Where is Southern Pelvic Health, LLC located?

Southern Pelvic Health, LLC is located at 601 Woodlawn Dr NE Ste 100, Marietta, GA 30067. The listed phone number is (770) 415-4815.

What is Southern Pelvic Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Southern Pelvic Health, LLC enrolled in Medicare?

Yes. Southern Pelvic Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Pelvic Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Southern Pelvic Health, LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Pelvic Health, LLC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.