PROFOUND WELLNESS NPI 1922794676

NPI Information

  • NPI: 1922794676
  • Provider Name: PROFOUND WELLNESS
  • Classification: Physical Medicine & Rehabilitation - 208100000X
  • Entity Type: Organization
  • Address: 4855 RIVER GREEN PKWY STE 320
    DULUTH, GA
    ZIP 30096
  • Phone: (470) 323-7665

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NPI Details

PROFOUND WELLNESS is a physical medicine rehabilitation in Duluth, GA. The provider is physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. PROFOUND WELLNESS NPI is 1922794676. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4855 RIVER GREEN PKWY STE 320
DULUTH, GA
ZIP 30096-337
Phone: (470) 323-7665
Fax: (877) 519-1412

The provider's authorized official is Areigna Preston .
The authorized official title is Owner/manager and has the following contact phone number (470) 323-6020.

The enumeration date for this NPI number is 4/14/2023 and was last updated on 11/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicineNo
2225700000XMassage TherapistNo
3208100000XPhysical Medicine & RehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11467855924MEDICAIDGEORGIA
21922794676MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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