Sundance
Sundance is a healthcare organization registered as Skilled Nursing Facility in Marietta, GA, holding Type 2 (organization) NPI 1629312079 since 2012. The authorized official on file is Shemily Mathew, Pt.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1629312079 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sundance |
| Parent organization | No |
| Practice address | 145 COX FARM RD NW, Marietta, GA, 30064 |
| Phone | 2079926007 |
| Enumeration date | 2012-11-23 |
| Last updated in NPPES | 2012-11-23 |
Authorized official
| Name | Shemily Mathew |
|---|---|
| Title | Pt |
| Phone | 2079926007 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | PT010530 | GA |
Copy-ready billing details
Provider: Sundance NPI: 1629312079 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 145 COX FARM RD NW, Marietta, GA, 30064
Verify this record
Cross-check NPI 1629312079 against the authoritative CMS record: view Sundance on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Sundance?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-23.