DANIA BEACH WEST MEDICINE AND REHAB
NPI 1740587641
Clinic/Center - Pain in Albany, GA

Active since February 12, 2011CLIA 11D2120612 · Waiver
507 W 3RD AVE STE 8A, ALBANY, GA 31701(888) 589-9064 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2022, Feb 14, 2022, Feb 7, 2022 and 2 more (5 updates tracked since 2018).

About Dania Beach West Medicine And Rehab NPPES

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

DANIA BEACH WEST MEDICINE AND REHAB (NPI 1740587641) is a healthcare organization registered as a pain in Albany, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in Warner Robins, and lists Stanford Anthony Williamson, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1740587641
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePHYSICIAN DISABILITY EXAMINATION SERVICES INC
Location Address507 W 3RD AVE STE 8AAlbany, GA 31701-1945
Mailing Address6600 Sugarloaf Pkwy, Suite 400 #290Duluth, GA 30097-4452 · (888) 589-9064
Organization SubpartNo
Authorized OfficialStanford Anthony WilliamsonCeo/owner · (888) 589-9064
Enumeration DateFebruary 12, 2011
Last NPPES UpdateOctober 28, 20225 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
NPI 1740587641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License OS10135 (FL)
507 W 3RD AVE STE 8A, Albany, GA 31701

Other Names 1

Doing Business AsDania Beach West Medicine And Rehab

Secondary Practice Location 1

Location 1108 Byrd Way Ste 100Warner Robins, GA 31088-9195 · Phone (888) 589-9064

Other Identifiers 1

Medicaid000-106-500FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2120612

Dania Beach West Medicine And Rehab · Albany, GA
Active · expires Jun 11, 2027
CLIA Number11D2120612
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorStanford A. Williamson
Laboratory Phone(888) 589-9064
Laboratory LocationDania Beach West Medicine And Rehab507 W 3rd Avenue, Suite 8 A, Albany, GA 31701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Pain Medicine)
507 W 3RD AVE STE 8A
ALBANY, GA 31701

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 Physician Disability Examination Services Inc's NPI number?

The NPI number for Physician Disability Examination Services Inc is 1740587641. It was assigned to this organization in the NPPES registry on February 12, 2011. The provider is doing business as Dania Beach West Medicine And Rehab.

Where is Physician Disability Examination Services Inc located?

Physician Disability Examination Services Inc is located at 507 W 3rd Ave Ste 8A, Albany, GA 31701. The listed phone number is (888) 589-9064.

What is Physician Disability Examination Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Physician Disability Examination Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2120612) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physician Disability Examination Services Inc was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.