PHG Thomson LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHG THOMSON LLC

Practice address

511 Mount Pleasant Rd
Thomson, GA 30824-8140

Phone

(706) 595-5574

Fax

(706) 595-6342

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

David Lemcke

Title

Member

Phone

(678) 808-4071

Specialties & licenses 1

Addresses

Other names 1

• Thomson Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Skilled nursing facility certification: CCN 115365

Legal name

PHG THOMSON LLC

Doing business as

THOMSON HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1989

Last certification

Nov 21, 2024

Beds

150

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Peach Health Group

Organization structure

LLCProprietary

Enrollment address

511 Mount Pleasant Rd
Thomson, GA 30824-8140

Nursing home name

THOMSON HEALTH AND REHABILITATION

Listed as

Thomson Health and RehabilitationCCN 115365

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150106.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Michael Franklin Powell, MD

  • Internal Medicine Physician
  • Thomson, GA
  • NPI 1932105699

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 6

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

• JV Jeffersonville LLC

  • Skilled Nursing Facility
  • Jeffersonville, GA
  • NPI 1932657616

  Peach Health Group LLC

  CMS ownership
• LC Lumber City LLC

  • Skilled Nursing Facility
  • Lumber City, GA
  • NPI 1245941533

  Peach Health Group LLC

  CMS ownership
• Os Tybee LLC

  • Skilled Nursing Facility
  • Tybee Island, GA
  • NPI 1932554227

  Peach Health Group LLC

  CMS ownership
• PHG McRae LLC

  • Skilled Nursing Facility
  • MC Rae, GA
  • NPI 1962251645

  Peach Health Group LLC

  CMS ownership
• PHG Wrightsville LLC

  • Skilled Nursing Facility
  • Wrightsville, GA
  • NPI 1508426354

  Peach Health Group LLC

  CMS ownership
• SB Tybee LLC

  • Skilled Nursing Facility
  • Tybee Island, GA
  • NPI 1386099679

  Peach Health Group LLC

  CMS ownership

Practitioners 2

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

• Daryl Carson Wiley, M.D.

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1508859448
  NPD (past)
• Albert Warren Jr., MD

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1871770412
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Daryl Carson Wiley, M.D.

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1508859448

  Nursing home

  Care Compare affiliation
• Albert Warren Jr., MD

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1871770412

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1215501366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MOUNT PLEASANT RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308248140",
            "telephone_number": "706-595-5574",
            "fax_number": "706-595-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MOUNT PLEASANT RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308248140",
            "telephone_number": "706-595-5574",
            "fax_number": "706-595-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHG THOMSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "LEMCKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-808-4071"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomson Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Nichols, PTA
• Breanna Valena Nicholson, BSN, RN
• Afua Asantewaa Osei-Akoto, PHARMD
• Christopher Alan Palmer
• Latonya Patterson, LPC
• Curtis L Pickard, D.M.D.
• Ulysses Clifford Pickard, DMD
• Gabriel J Pitt, AU.D.
• Samuel Casey Pitts, D.O.
• Robert F. Polglase, MD

• All providers in Thomson, GA
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.