The Reserve at Fort Gaines of Journey LLC
Organization Active NPI Skilled Nursing Facility · Fort Gaines, GA
NPI 1093676397 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1093676397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE RESERVE AT FORT GAINES OF JOURNEY LLC
- Practice address
- 101 Hartford Rd W
Fort Gaines, GA 39851-4331 - Phone
- (229) 768-2521
- NPI assigned
- Nov 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Bernard J McGuinness III
- Title
- Member of LLC
- Phone
- (229) 768-2521
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0915858 | Reserve at Fort Gaines of Journey, the | Certificate of waiver | Jun 9, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
101 Hartford Rd W
Fort Gaines, GA 39851-4331
Mailing address
101 Hartford Rd W
Fort Gaines, GA 39851-4331
Phone (229) 768-2521
Other providers in Fort Gaines, GA
- Ft Gaines Medical Associates PC
- Karen Sue Kinsell
- Heather McRee Reynolds
- Jennifer Sanders
- Cynthia L Sumner
- Georgianna Kay Williams
All providers in Fort Gaines, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.