NPIMap

Organization Active NPI

Jones County Nursing Home LLC

Doing business as Autumn Lane Health and Rehabilitation

  • Skilled Nursing Facility
  • Gray, GA
National Provider Identifier
1043253172
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-084-1787 Issued in GA
Legal business name
JONES COUNTY NURSING HOME LLC
Doing business as
Autumn Lane Health and Rehabilitation
Practice address
302 Georgia 18 E
Gray, GA 31032
Phone
(478) 986-3151
Fax
(478) 986-1381
NPI assigned
Jun 14, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Valerie Law
Title
Administrator
Phone
(478) 986-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-084-1787 GA Primary

Addresses

Primary practice location

302 Georgia 18 E
Gray, GA 31032

Mailing address

PO Box 175
Gray, GA 31032-0175
Phone (478) 986-3151

Other identifiers 2

IdentifierTypeStateIssuer
00082992AMedicaidGA
51003876 001OtherBCBS

Other names 1

  • Autumn Lane 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
O20030716000021 GA Part A Provider - Skilled Nursing Facility 4183535016 Practice locations: Gray, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043253172. Details of each certification follow.

Skilled nursing facility certification: CCN 115466

Legal name
JONES COUNTY NURSING HOME LLC
Doing business as
AUTUMN LANE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 1989
Last certification
May 16, 2025
Beds
85
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Scholarships Inc
Organization structure
LLCNon-profit
Enrollment address
302 Ga Hwy 18 East
Gray, GA 31032-5820
Nursing home name
AUTUMN LANE HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Autumn Lane Health and RehabilitationCCN 115466 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Nov 27, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8580.6 residents per day on average
Chain
Ethica Health50 facilities in the chain

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
11D0646042Autumn Lane Health & Rehabilitation302 Georgia 18 East, Gray, GA 31032Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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
Organization, Perry, GA LLC, For-profit Adp of the SNF Jan 21, 2020
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jun 24, 2025
Organization, Gray, GA LLC, For-profit Adp of the SNF Sep 4, 2019
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Individual Adp of the SNF Jan 1, 2024
Gregory Davis Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDVP Sep 1, 2023
Maulikkumar a Patel Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Kendra Whipple Individual Operational/Managerial Control Aug 15, 2021
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Jan 1, 2025
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jun 24, 2025
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Mar 30, 2009 100%
Adp of the SNF Jul 2, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2003 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Mar 31, 2003 100%
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jun 24, 2025
Valerie Law Individual Operational/Managerial Control Jun 30, 2025
Adp of the SNF Jul 2, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Jun 24, 2025
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 50

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

View all 50

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1043253172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310320175",
            "telephone_number": "478-986-3151",
            "fax_number": "478-986-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 GEORGIA 18 E",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "31032",
            "telephone_number": "478-986-3151",
            "fax_number": "478-986-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES COUNTY NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-986-3151"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-084-1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00082992A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51003876 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Lane Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Autumn Lane Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gray, GA

Sources for this page

Verify at the official NPI Registry.