MEDICARE: PIEDMONT HEALTHCARE ENCOMPASS HEALTH EASTSIDE REHAB HOSPITAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1558211516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIEDMONT HEALTHCARE ENCOMPASS HEALTH EASTSIDE REHAB HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	2945 LOGANVILLE HWY
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-2115
Country	:	US
Telephone Number	:	770-871-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 LOGANVILLE HWY
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-2115
Country	:	US
Telephone Number	:	205-967-7116
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CAREY B MCRAE
Credential	:
Telephone Number	:	205-967-7116

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	03/31/2026

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