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

Sovereign Rehabilitation of Georgia, LLC

Organization Physical Therapist · NPI 1194267260

Sovereign Rehabilitation of Georgia, LLC is a Physical Therapist in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

1301 Sigman Rd NE Ste 220
Conyers, GA 30012-3812
Phone: (678) 210-0311
Fax: (678) 210-0335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT008054 (GA)

Record details

NPI number1194267260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colette Johnson — Vp Of Operations · (404) 680-6470
NPI enumeratedNovember 7, 2016
Last updated in NPPESNovember 7, 2016
Mailing address1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812

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