Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sovereign Rehabilitation of Georgia, LLC

Organization Physical Therapist · NPI 1194267260

Sovereign Rehabilitation of Georgia, LLC provides Physical Therapist services 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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