Georgia Subacute Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GEORGIA SUBACUTE SERVICES

Doing business as

Southern Traditions

Practice address

144 Depot St
Buchanan, GA 30113-5216

Phone

(770) 646-5512

NPI assigned

Sep 29, 2005

Last updated

Aug 22, 2020By 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

Ms. Janice Morris

Title

Administrator

Phone

(770) 646-5512

Specialties & licenses 1

Addresses

Other names 1

• Southern Traditions Doing business as

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225025828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301130310",
            "telephone_number": "770-646-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 DEPOT ST",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301135216",
            "telephone_number": "770-646-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SUBACUTE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-646-5512",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Traditions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CS SNF LLC (Countryside Health Center)
• Denis Morin (Buchanan Medical Clinic)
• Denis Morin (buchanan medical clinic)
• Erin Wurtz Everson
• Kellilyn Gates
• Glenna Green, FNP-BC
• Paul D Hague, DMD
• Haralson County Board of Education
• Haralson County Board of Health (Haralson County Health Department)
• Crystal Holmes Hembree, CPHT

• Skilled Nursing Facility in Buchanan, GA
• Providers in Buchanan, 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 Aug 22, 2020; 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.