NPIMap

Organization Active NPI

Granville Health System

Doing business as Brantwood Nursing Center

  • Skilled Nursing Facility
  • Oxford, NC
National Provider Identifier
1265441208
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GRANVILLE HEALTH SYSTEM
Doing business as
Brantwood Nursing Center
Practice address
1038 College St
Pob 1006
Oxford, NC 27565-2507
Phone
(919) 690-3334
Fax
(919) 690-0952
NPI assigned
Aug 7, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Melanie Hobgood
Title
Acting Ceo
Phone
(919) 690-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1038 College St
Pob 1006
Oxford, NC 27565-2507

Mailing address

1038 College St
Pob 1006
Oxford, NC 27565-2507
Phone (919) 690-3334

Other identifiers 3

IdentifierTypeStateIssuer
0081WOtherNCBCBS PROVIDER #
340600VMedicaidNC
3405412MedicaidNC

Other names 1

  • Brantwood Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000961 NC Part A Provider - Skilled Nursing Facility 1052223757 Practice locations: Oxford, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265441208. Details of each certification follow.

Skilled nursing facility certification: CCN 345412

Legal name
GRANVILLE HEALTH SYSTEM
Doing business as
BRANTWOOD NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 31, 1992
Last certification
Dec 18, 2024
Beds
80
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Granville Medical Center
Organization structure
OtherNon-profit
Enrollment address
1038 College Street
Oxford, NC 27565-1006
Nursing home name
BRANTWOOD NH & RETIREMENT CENTER

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brantwood Nh & Retirement CenterCCN 345412 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 31, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8064.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2191103Brantwood Nursing & Rehabilitation Center1038 College Street, Oxford, NC 27565Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Granville Medical Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1038 College St
Oxford, NC 27565
Phone (919) 690-3334

Ownership & related parties

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.

NameRoleSinceShare
Individual Direct Ownership Interest Jan 1, 2022
Individual Direct Ownership Interest Mar 17, 2025
James Lumpkins Individual Corporate DirectorBoard Member Jan 1, 2021
David Smith Individual Corporate DirectorBoard Member Jan 1, 2018
County of Granville Organization, Oxford, NC Medical provider/supplier 5% Or Greater Direct Ownership Interest Mar 8, 1973 100%
Adp of the SNF Mar 8, 1973
Direct Ownership Interest Mar 8, 1973 100%
Dawn Marie Scott Omokunde Individual Corporate Director Jan 1, 2018
Jamie Purvis Individual Corporate DirectorCfo Feb 1, 2023
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Tony Cozart Individual Corporate DirectorBoard Member Jan 1, 2018
Adam W McConnell Individual Corporate OfficerCfo, Board Member Oct 1, 2018
Corporate DirectorCfo, Board Member Oct 1, 2018
Operational/Managerial Control Oct 1, 2018
Trustee of the SNF Oct 1, 2018
Adp of the SNF Oct 1, 2018
Zelodis Jay Individual Corporate DirectorBoard Member Jan 1, 2018
Individual Adp of the SNF Nov 14, 2022
Direct Ownership Interest Nov 14, 2022
Shane M Hodge Individual Corporate DirectorMD, Chief of Staff, Board Member Jan 1, 2021
Individual Adp of the SNF Dec 1, 2020
Direct Ownership Interest Dec 1, 2020
James Wiley Gooch Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Granville Primary CareCreedmoor, NC, CCN 343436 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2008
Jul 1, 2008
Granville Internal Medicine and GeriatricsOxford, NC, CCN 343437 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2009
Aug 1, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Granville Health System

    dba South Granville Primary Care

    • Rural Health Clinic/Center
    • Creedmoor, NC
    • NPI 1265430854

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Granville Health System

    dba Granville Internal Medicine & Geriatrics

    • Rural Health Clinic/Center
    • Oxford, NC
    • NPI 1811999055

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1265441208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 COLLEGE ST",
            "address_2": "POB 1006",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-690-3334",
            "fax_number": "919-690-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 COLLEGE ST",
            "address_2": "POB 1006",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-690-3334",
            "fax_number": "919-690-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "HOBGOOD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "919-690-3445"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0081W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340600V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brantwood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brantwood Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

Verify at the official NPI Registry.