Tattnall Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-132-1734 Issued in GA

Legal business name

TATTNALL NURSING LLC

Doing business as

Tattnall Health Care

Practice address

142 Memorial Dr
Reidsville, GA 30453-4652

Phone

(912) 557-4345

Fax

(912) 557-3019

NPI assigned

Jun 10, 2006

Last updated

Sep 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tygh Brogdon

Title

Manager

Phone

(770) 650-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tattnall Health Care Doing business as

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1063454718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MEMORIAL DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534652",
            "telephone_number": "912-557-4345",
            "fax_number": "912-557-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MEMORIAL DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534652",
            "telephone_number": "912-557-4345",
            "fax_number": "912-557-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATTNALL NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "TYGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-132-1734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143228A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tattnall Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tattnall Healthcare LLC. (Tattnall Medical Group)
• Tattnall Hospital Company LLC (Optim Medical Center-Tattnall Reidsville)
• Tattnall Hospital Company LLC (Optim Medical Center - Tattnall)
• Tattnall Hospital Company, LLC (Optim Primary Care-Reidsville)
• Tattnall Hospital Company, LLC (Optim Medical Center - Tattnall)
• Tattnall Nursing, LLC (Tattnall Healthcare Center)
• The Tattnall Bank (Tattnall Medical Group)
• The Tattnall Bank (Tattnall Community Hospital)
• The Tattnall Bank (Tattnall Community Hospital)
• Allyson N Thomas, CRNA

• Skilled Nursing Facility in Reidsville, GA
• Providers in Reidsville, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.