McDuffie County Nursing Home LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-138-1715 Issued in GA

Legal business name

MCDUFFIE COUNTY NURSING HOME LLC

Practice address

511 Mount Pleasant Rd
Thomson, GA 30824-8140

Phone

(706) 595-5574

Fax

(706) 595-6342

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Jacqueline M. Pittman

Title

Administrator

Phone

(706) 595-5574

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thomson Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1245278290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308241080",
            "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": "MCDUFFIE COUNTY NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-595-5574"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-138-1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51001187 001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00143261A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomson Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael David McDaniel, P.A.
• McDuffie County Board of Commissioners
• McDuffie County Board of Health
• McDuffie County Board of Health
• McDuffie County Mental Health
• McDuffie Coutny Board of Education
• McDuffie Medical Associates, PC
• McDuffie Podiatry and Wound Care, PC
• McDuffie Surgical Clinic PC
• Michael Keith McGahee, RPH

• Skilled Nursing Facility in Thomson, GA
• Providers in Thomson, 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 Nov 2, 2009; 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.