NPIMap

Organization Active NPI

Newnan Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Newnan, GA
National Provider Identifier
1184613358
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-038-235 Issued in GA
Legal business name
NEWNAN NURSING AND REHABILITATION LLC
Practice address
244 E Broad St
Newnan, GA 30263-1818
Phone
(770) 253-7160
Fax
(770) 253-8232
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Machele McCrary
Title
Administrator
Phone
(770) 400-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-038-235 GA Primary

Addresses

Primary practice location

244 E Broad St
Newnan, GA 30263-1818

Mailing address

PO Box 40
Newnan, GA 30264-0040
Phone (770) 253-7160

Other identifiers 1

IdentifierTypeStateIssuer
00040719MedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100729000534 GA Part A Provider - Skilled Nursing Facility 5395878235 Practice locations: Newnan, GA

Skilled nursing facility certification: CCN 115138

Legal name
NEWNAN NURSING AND REHABILITATION LLC
Doing business as
NEWNAN HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 20, 1973
Last certification
Dec 20, 2024
Beds
143 (104 certified)
Ownership / control type
Other Nonprofit
Multi-facility organization
HEALTH SCHOLARSHIPS
Organization structure
LLCNon-profit
Incorporated
Jan 20, 2010 in GA
Enrollment address
244 East Broad Street
Newnan, GA 30263-1818
Nursing home name
NEWNAN HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Newnan Health and RehabilitationCCN 115138 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Sep 20, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10480.4 residents per day on average
Chain
Ethica Health50 facilities in the chain
Penalties (3 years)
2Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Newnan Hospital2 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.

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Corhonda Samuels Individual Operational/Managerial Control Nov 11, 2024
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2024
Organization, Macon, GA LLC, Non-profit Adp of the SNF Sep 4, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Individual Adp of the SNF Jan 1, 2024
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Wyatt K Blake Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Individual Adp of the SNF Jan 1, 2024
Machele Pace Individual Operational/Managerial Control Apr 11, 2026
Adp of the SNF Apr 17, 2026
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Sep 4, 2025
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Individual Adp of the SNF Jan 1, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Sep 4, 2025
Individual Adp of the SNF Jan 1, 2024
Jacqueline Pittman Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Sep 4, 2025
Individual Adp of the SNF Jan 1, 2024
Organization, Gray, GA LLC, Non-profit Adp of the SNF Jun 9, 2010
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Apr 1, 2010
Adp of the SNF Sep 4, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Apr 1, 2010 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Apr 1, 2010 100%
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
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 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1184613358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302640040",
            "telephone_number": "770-253-7160",
            "fax_number": "770-253-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E BROAD ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631818",
            "telephone_number": "770-253-7160",
            "fax_number": "770-253-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "MCCRARY",
        "authorized_official_first_name": "MACHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-400-8850"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-038-235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040719",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.