NPIMap

Organization Active NPI

Magnolia Manor of Columbus, Inc.

  • Skilled Nursing Facility
  • Columbus, GA
National Provider Identifier
1124043286
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
240030 Issued in GA
Legal business name
MAGNOLIA MANOR OF COLUMBUS, INC.
Practice address
2010 Warm Springs Rd
Columbus, GA 31904
Phone
(706) 324-0387
Fax
(706) 324-0927
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mrs. Sibyl P. Bledsoe
Title
Business Office Manager
Phone
(229) 931-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 240030 GA Primary

Addresses

Primary practice location

2010 Warm Springs Rd
Columbus, GA 31904

Mailing address

PO Box 9696
Columbus, GA 31908-9696
Phone (706) 324-0387

Other identifiers 1

IdentifierTypeStateIssuer
00083047AMedicaidGA

Other names 1

  • Nursing Center East Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000551 GA Part A Provider - Skilled Nursing Facility 4385747666 Practice locations: Columbus, GA

Skilled nursing facility certification: CCN 115124

Legal name
MAGNOLIA MANOR OF COLUMBUS INC
Doing business as
MAGNOLIA MANOR OF COLUMBUS NURSING CENTER EAST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 1971
Last certification
Jul 14, 2024
Beds
210
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 2006 in GA
Enrollment address
2010 Warm Springs Rd
Columbus, GA 31904-7932
Nursing home name
MAGNOLIA MANOR OF COLUMBUS NURSING CENTER - EAST
Affiliated entity
MAGNOLIA MANOR SENIOR LIVING

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia Manor of Columbus Nursing Center - EastCCN 115124
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 5, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
21095.9 residents per day on average
Chain
Magnolia Manor Senior Living5 facilities in the chain
Penalties (3 years)
2Fines totaling $8,788

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
11D2330736Magnolia Manor of Columbus East Campus2010 Warm Springs Road, Columbus, GA 31904Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Manor of Columbus Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2000 Warm Springs Rd
Columbus, GA 31904
Phone (706) 324-0387

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Deborah Lawhorn Individual Operational/Managerial ControlAdministrator Oct 1, 2016
Mark R Todd Individual Corporate Director Feb 12, 2007
Hillery V Fort Individual Corporate DirectorChief Operations Officer Nov 1, 2008
Magnolia Manor Inc Organization, Americus, GA Operational/Managerial Control Jan 1, 2007

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1124043286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9696",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089696",
            "telephone_number": "706-324-0387",
            "fax_number": "706-324-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-324-0387",
            "fax_number": "706-324-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MANOR OF COLUMBUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "SIBYL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "229-931-5904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "240030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00083047A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nursing Center East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.