Greenbriar Nursing Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1010 Issued in MS

Legal business name

GREENBRIAR NURSING CENTER, INC.

Practice address

4347 W Gay Rd
Diberville, MS 39540-3412

Phone

(228) 392-8484

Fax

(228) 392-6262

NPI assigned

Dec 20, 2007

Last updated

Dec 19, 2014By 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

Mrs. Avonna Catherine Cain

Title

Owner

Phone

(228) 392-8484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386828713. Details of each certification follow.

• CCN 255323 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 255323

Legal name

GREENBRIAR NURSING CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 26, 2007

Last certification

Feb 8, 2024

Beds

103

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

May 7, 2001 in MS

Enrollment address

4347 W Gay Rd
Diberville, MS 39540-3412

Nursing home name

GREENBRIAR NURSING CENTER

Listed as

Greenbriar Nursing CenterCCN 255323 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 26, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10388.7 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

Locations

All disclosed owners & managing parties 3

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.

• Stephen Johns, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Gulfport, MS
  • NPI 1881709053

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Stephen Johns, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Gulfport, MS
  • NPI 1881709053
  NPD (past)

Affiliated clinicians 1

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

• Stephen Johns, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Gulfport, MS
  • NPI 1881709053

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1386828713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 W GAY RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403412",
            "telephone_number": "228-392-8484",
            "fax_number": "228-392-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 W GAY RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403412",
            "telephone_number": "228-392-8484",
            "fax_number": "228-392-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIAR NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "AVONNA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-392-8484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Weaver Gomila, MS, OTR/L
• Germaine Nickole Gottsche, DMD
• Scarlet Gould, DNP
• Grace Personal Care 1 LLC
• Chasty Patrice Grady, PHARMD
• Nichole Caleb Anastasia Gricreria Switzer
• Gulf Coast Hospice, LLC
• Carol Ann Hall, D.O.
• Jeffery Scott Hampton Jr., DPT
• Janie Davis Hamrick, RBT-18-61782

• Skilled Nursing Facility in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.