ST. MARY SPINE AND SPORT INJURIES REHAB
NPI 1992479596
Internal Medicine in Bloomingdale, GA

Active since August 06, 2021
502 E US HIGHWAY 80 STE D, BLOOMINGDALE, GA 31302(912) 999-7275(912) 988-3748 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2021, Oct 14, 2021, Aug 19, 2021 and 1 more (4 updates tracked since 2021).

About St. Mary Spine And Sport Injuries Rehab NPPES

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

ST. MARY SPINE AND SPORT INJURIES REHAB (NPI 1992479596) is a healthcare organization registered as an internal medicine in Bloomingdale, Georgia and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Pooler and lists Noha Raouf Soliman, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1992479596
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. MARY SPINE AND SPORT INJURIES REHAB
Location Address502 E US HIGHWAY 80 STE DBloomingdale, GA 31302-9356
Mailing Address502 E Us Highway 80 Ste DBloomingdale, GA 31302-9356
Fax(912) 988-3748
Organization SubpartNo
Authorized OfficialNoha Raouf SolimanProvider/owner · (912) 508-8828
Enumeration DateAugust 6, 2021
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1992479596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysical TherapistTaxonomy 225100000X
502 E US HIGHWAY 80 STE D, Bloomingdale, GA 31302

Secondary Practice Location 1

Location 152 Traders WayPooler, GA 31322-4158 · Phone (912) 999-7275

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

Other Providers at the Same Location NPPES

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

Internal Medicine
502 E US HIGHWAY 80 STE D
BLOOMINGDALE, GA 31302

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 St. Mary Spine And Sport Injuries Rehab's NPI number?

The NPI number for St. Mary Spine And Sport Injuries Rehab is 1992479596. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is St. Mary Spine And Sport Injuries Rehab located?

St. Mary Spine And Sport Injuries Rehab is located at 502 E Us Highway 80 Ste D, Bloomingdale, GA 31302. The listed phone number is (912) 999-7275.

What is St. Mary Spine And Sport Injuries Rehab's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for St. Mary Spine And Sport Injuries Rehab was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.