Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Healthcare Foundation - Southern Regional, LLC

Organization Rehabilitation Hospital Unit · NPI 1679946669

Prime Healthcare Foundation - Southern Regional, LLC is a Rehabilitation Hospital Unit in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Uppr Riverdale RD SW
Riverdale, GA 30274-2615
Phone: (770) 991-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Hospital Unit (primary) Taxonomy 273Y00000X (GA)

Record details

NPI number1679946669
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrime Healthcare Foundation - Southern Regional, LLC
Authorized official Christopher Doan — Chief Compliance Counsel · (909) 235-4307
NPI enumeratedNovember 12, 2015
Last updated in NPPESNovember 12, 2015
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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