NPIMap

Organization Active NPI

Johnson County LTC LLC

  • Skilled Nursing Facility
  • Adrian, GA
National Provider Identifier
1013959147
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-083-1902 Issued in GA
Legal business name
JOHNSON COUNTY LTC LLC
Practice address
12 Smith LN
Adrian, GA 31002-4820
Phone
(478) 668-3225
Fax
(478) 668-3927
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Becky Browning
Title
Administrator
Phone
(478) 668-3225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-083-1902 GA Primary

Addresses

Primary practice location

12 Smith LN
Adrian, GA 31002-4820

Mailing address

PO Box 287
Adrian, GA 31002-0287
Phone (478) 668-3225

Other identifiers 1

IdentifierTypeStateIssuer
00141644AMedicaidGA

Other names 1

  • Scott Health and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000536 GA Part A Provider - Skilled Nursing Facility 7012013410 Practice locations: Adrian, GA

Skilled nursing facility certification: CCN 115671

Legal name
JOHNSON COUNTY LTC, LLC
Doing business as
SCOTT HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 18, 2001
Last certification
Feb 18, 2024
Beds
59
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Piedmont Regional Health, Inc.
Organization structure
LLCNon-profit
Incorporated
Sep 12, 2005 in GA
Enrollment address
12 Smith LN
Adrian, GA 31002-4820
Nursing home name
SCOTT HEALTH & REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Scott Health & RehabilitationCCN 115671
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 18, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5954.2 residents per day on average
Chain
Ethica Health50 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Oct 15, 2025
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Oct 15, 2025
Organization, Twin City, GA LLC, For-profit Adp of the SNF Nov 1, 2003
Tiffany Peavy Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Individual Adp of the SNF Jan 1, 2024
Maulikkumar a Patel Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Nov 1, 2006
Adp of the SNF Oct 15, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Nov 1, 2006 100%
Becky Browning Individual Operational/Managerial Control Nov 1, 2006
Adp of the SNF Oct 15, 2025
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Nov 1, 2025 100%
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Oct 15, 2025
Individual Adp of the SNF Jan 1, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Oct 15, 2025
Lacrezia Jackson Individual Operational/Managerial Control Mar 28, 2026
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 49

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 49

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1013959147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "ADRIAN",
            "state": "GA",
            "postal_code": "310020287",
            "telephone_number": "478-668-3225",
            "fax_number": "478-668-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SMITH LN",
            "city": "ADRIAN",
            "state": "GA",
            "postal_code": "310024820",
            "telephone_number": "478-668-3225",
            "fax_number": "478-668-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-668-3225"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-083-1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141644A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, GA

Sources for this page

Verify at the official NPI Registry.