Active NPI
Brightmoor Nursing Center, LLC
- Skilled Nursing Facility
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRIGHTMOOR NURSING CENTER, LLC
- Practice address
- 3235 Newnan Rd
Griffin, GA 30223-7114 - Phone
- (770) 228-8599
- Fax
- (770) 228-6618
- NPI assigned
- Jul 30, 2021
- Last updated
- May 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Howard Watson Reese III
- Title
- Chief Operations Officer
- Phone
- (678) 972-1644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
3235 Newnan Rd
Griffin, GA 30223-7114
Mailing address
3247 Newnan Rd
Griffin, GA 30223-7114
Phone (678) 972-1644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220520000493 | GA | Part A Provider - Skilled Nursing Facility | 4183001761 | Practice locations: Griffin, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225701667. Details of each certification follow.
Skilled nursing facility certification: CCN 115556
- Legal name
- BRIGHTMOOR NURSING CENTER, LLC
- Doing business as
- BRIGHTMOOR NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 1, 1993
- Last certification
- Nov 7, 2024
- Beds
- 133
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 3235 Newnan Rd
Griffin, GA 30223-7114 - Nursing home name
- BRIGHTMOOR NURSING CENTER, LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brightmoor Nursing Center, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1993
- Medicare certification status
- Active
- Certified beds
- 133
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kim Jones | Operational/Managerial Control | Jun 22, 2023 | |
| Adp of the SNF | Jun 22, 2023 | ||
| Melady Alvarado | Operational/Managerial Control | Sep 30, 2021 | |
| Adp of the SNF | Sep 30, 2021 | ||
| Brian Doherty | Adp of the SNF | Sep 30, 2021 | |
| Indirect Ownership Interest | Sep 30, 2021 | 6.41% | |
| Adp of the SNF | Nov 3, 2025 | ||
| Brent Parker | Operational/Managerial Control | Sep 30, 2021 | |
| Adp of the SNF | Sep 30, 2021 | ||
| Adp of the SNF | Nov 3, 2025 | ||
| Randall West | Operational/Managerial Control | Oct 15, 2025 | |
| Adp of the SNF | Oct 15, 2025 | ||
| Howard Reese | Operational/Managerial Control | Sep 30, 2021 | |
| Managing Control - Governing Body | Sep 30, 2021 | ||
| Adp of the SNF | Sep 30, 2021 | ||
| Indirect Ownership Interest | Sep 30, 2021 | 2.5% | |
| Jaimie Trulove | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | Jul 1, 2023 | ||
| Indirect Ownership Interest | Sep 30, 2021 | 0.95% | |
| John Lykouretzos | Adp of the SNF | Sep 30, 2021 | |
| Indirect Ownership Interest | Sep 30, 2021 | 87.16% | |
| Hoplite Capital Strategies LLC - Brightmoor Series | Adp of the SNF | Sep 30, 2021 | |
| Indirect Ownership Interest | Sep 30, 2021 | 95% | |
| Indirect Ownership Interest | Sep 30, 2021 | 0.48% | |
| Brightmoor Griffin Holdings LLC | 5% Or Greater Direct Ownership Interest | Sep 30, 2021 | 100% |
| Mark Bradshaw | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Apr 1, 2024 | ||
| Carla Harris | Operational/Managerial Control | Apr 22, 2024 | |
| Adp of the SNF | Apr 22, 2024 | ||
| Hoplite Brightmoor Seniors LLC | Adp of the SNF | Sep 30, 2021 | |
| Indirect Ownership Interest | Sep 30, 2021 | 100% | |
| Shauna Hamby | Operational/Managerial Control | Apr 22, 2024 | |
| Adp of the SNF | Apr 22, 2024 | ||
| William C Brown | Operational/Managerial Control | Sep 30, 2021 | |
| Managing Control - Governing Body | Sep 30, 2021 | ||
| Adp of the SNF | Sep 30, 2021 | ||
| Indirect Ownership Interest | Sep 30, 2021 | 2.5% | |
| Adp of the SNF | Sep 30, 2021 | ||
| Brightmoor Management Services LLC | Operational/Managerial Control | Sep 30, 2021 | |
| Adp of the SNF | Nov 3, 2025 | ||
| Adp of the SNF | Jun 6, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Sandy Springs, GA
- NPI 1316107428
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Sandy Springs, GA
- NPI 1316107428
-
- Internal Medicine Physician
- Griffin, GA
- NPI 1396740288
-
- Family Medicine Physician
- Barnesville, GA
- NPI 1023105723
Affiliated clinicians 2
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": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652572800000",
"number": "1225701667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3247 NEWNAN RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302237114",
"telephone_number": "678-972-1644",
"fax_number": "770-467-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 NEWNAN RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302237114",
"telephone_number": "770-228-8599",
"fax_number": "770-228-6618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTMOOR NURSING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-30",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "WATSON",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "678-972-1644",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
- Brighter Tomorrows Consulting, LLC
- Brightmoor Assisted Living, Inc.
- Brightmoor Health Care Inc
- Brightmoor Healthcare DME, LLC (Legacy Home Care, LLC)
- Brightmoor Hospice, LLC
- Brightmoor Physician Services LLC
- Xiaohui Zhang Brotzge
- Wendy Brower
- Chastity Moore Brown, D.M.D.
- Corbette Soltysiak Brown, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.