NPIMap

Organization Active NPI

Northeast Georgia Medical Center, Inc.

  • Skilled Nursing Facility
  • Gainesville, GA
National Provider Identifier
1407892706
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Practice address
675 White Sulphur Road
Gainesville, GA 30501-2621
Phone
(770) 219-8300
Fax
(770) 219-8329
NPI assigned
Jun 22, 2006
Organization subpart
Yes
Parent organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Brian D Steines
Title
Cfo
Phone
(770) 219-3562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

675 White Sulphur Road
Gainesville, GA 30501-2621

Mailing address

675 White Sulphur Road
Suite 190
Gainesville, GA 30501-2569
Phone (770) 219-8300

Other identifiers 1

IdentifierTypeStateIssuer
00141072AMedicaidGA

Other names 1

  • NEW HORIZONS LANIER PARK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000355 GA Part A Provider - Skilled Nursing Facility 7517953755 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, GA

Skilled nursing facility certification: CCN 115487

Legal name
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Doing business as
NEW HORIZONS LANIER PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Feb 13, 2025
Beds
142
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1986 in GA
Enrollment address
2020 Beverly Rd
Gainesville, GA 30501-2037
Nursing home name
NEW HORIZONS LIMESTONE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
New Horizons LimestoneCCN 115487
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
142184.5 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
11D0701009New Horizons Lanier Park675 White Sulphur Road Suite 190, Gainesville, GA 30501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Northeast Ga Med Center11 organizations share this tax ID, including this one
Part of
Northeast Ga Med Center

Other organizations with this tax ID 10

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

Locations

675 White Sulphur Rd
Ste 190
Gainesville, GA 30501
Phone (770) 219-8300

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alexander a. Wayne Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Steven F. Blair Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Ronald C Lewis Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Lua R. Blankenship Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Brian D Steines Individual Corporate OfficerChief Financial Officer Jul 5, 2017 100%
W-2 Managing Employee Jul 5, 2017
Rodney Smith Individual Corporate Director Feb 4, 2008
Robert P. Bowen Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Linda Nicholson Individual W-2 Managing Employee Feb 4, 2008
Larry E. Dent Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Carol Burrell Individual Corporate Director Feb 4, 2008
W-2 Managing Employee Feb 4, 2008
Jeffrey C Terry Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Jay S Hortenstine Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Timothy a Scully Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Kaye a. Hearth Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Jack B. Keener Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Northeast Georgia Medical Center, Inc. Organization, Gainesville, GA Corporation Operational/Managerial Control Feb 4, 2008 100%
Deborah K. Mack Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Anthony M. Herdener Individual Corporate Director Feb 4, 2008
W-2 Managing Employee Feb 4, 2008
Jane B. Smoot Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%
Jacquelyn L. Wallace Individual Corporate DirectorBoard of Directors Feb 1, 2014 100%

Owners & managing parties with NPI records 9

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1407892706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WHITE SULPHUR ROAD",
            "address_2": "SUITE 190",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012569",
            "telephone_number": "770-219-8300",
            "fax_number": "770-219-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WHITE SULPHUR ROAD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012621",
            "telephone_number": "770-219-8300",
            "fax_number": "770-219-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST GEORGIA MEDICAL CENTER, INC.",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "STEINES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-219-3562"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141072A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW HORIZONS LANIER PARK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW HORIZONS LANIER PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.