Organization Active NPI

Medical Management Health & Rehab Center LLC

Doing business as Medical Management Health and Rehab Center

  • Skilled Nursing Facility
  • Macon, GA
National Provider Identifier
1033180567
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-011-1824 Issued in GA
Legal business name
MEDICAL MANAGEMENT HEALTH & REHAB CENTER LLC
Doing business as
Medical Management Health and Rehab Center
Practice address
1509 Cedar Ave
Macon, GA 31204
Phone
(478) 743-4678
Fax
(478) 738-0250
NPI assigned
Feb 1, 2006
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Michael E Winget Sr.
Title
President
Phone
(478) 974-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-011-1824 GA Primary

Addresses

Primary practice location

1509 Cedar Ave
Macon, GA 31204

Mailing address

1509 Cedar Ave
Macon, GA 31204
Phone (478) 743-4678

Other identifiers 1

IdentifierTypeStateIssuer
00141941AMedicaidGA

Other names 1

  • Medical Management Health and Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422001120 GA Part A Provider - Skilled Nursing Facility 9133167794 Practice locations: Macon, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033180567. Details of each certification follow.

Skilled nursing facility certification: CCN 115692

Legal name
MEDICAL MANAGEMENT HEALTH & REHAB CENTER LLC
Doing business as
MEDICAL MANAGEMENT HEALTH AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 2005
Last certification
Feb 11, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
Rivioli Healthcare Consultants
Organization structure
LLCProprietary
Enrollment address
1509 Cedar Ave
Macon, GA 31204-5317
Nursing home name
MEDICAL MANAGEMENT HEALTH AND REHAB CENTER
Affiliated entity
C. ROSS MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medical Management Health and Rehab CenterCCN 115692 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10075.7 residents per day on average
Chain
C. Ross Management5 facilities in the chain
Penalties (3 years)
2Fines totaling $41,316

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0720634Medical Management Health and Rehab Center1509 Cedar Avenue, Macon, GA 31204Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
C. Ross Management LLC Organization, Juliette, GA LLC, Consulting firm, For-profit, Chain home office Adp of the SNF Mar 10, 2025
Organization, Smyrna, GA LLC, For-profit Adp of the SNF Jan 28, 2025
Byron C Winget Individual 5% Or Greater Indirect Ownership InterestShareholder-R. Davis Holdings Inc. Jan 1, 2016 11.23%
Adp of the SNF Jan 1, 2016
Laura Chancie Martin Individual 5% Or Greater Indirect Ownership InterestShareholder-R. Davis Holdings Inc. Jan 1, 2016 13.47%
Adp of the SNF Jan 1, 2016
Clyde O Green Individual Operational/Managerial Control Jan 28, 2025
Adp of the SNF Jan 28, 2025
R Davis Holdings Inc Organization, Juliette, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Adp of the SNF Jan 1, 2016
Individual Adp of the SNF May 1, 2010
Michael Eugene Winget Individual 5% Or Greater Indirect Ownership InterestShareholder-R. Davis Holdings Inc. Jan 1, 2016 44.98%
Corporate OfficerPresident Jan 1, 2016
Operational/Managerial Control Mar 8, 2008
Adp of the SNF Mar 8, 2008
Brandon K Winget Individual 5% Or Greater Indirect Ownership InterestShareholder-R. Davis Holdings Inc. Jan 1, 2016 11.23%
Adp of the SNF Jan 1, 2016
Cheryl R McClain Individual Operational/Managerial Control Apr 5, 2005
Adp of the SNF Apr 5, 2005
Michael Eugene Winget Individual 5% Or Greater Indirect Ownership InterestShareholder-R. Davis Holdings Inc. Jan 1, 2016 19.09%
Adp of the SNF Jan 1, 2016

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1033180567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CEDAR AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-743-4678",
            "fax_number": "478-738-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CEDAR AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-743-4678",
            "fax_number": "478-738-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT HEALTH & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "WINGET",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-974-0006",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-011-1824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141941A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Management Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Management Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.