Active NPI
Summer Willow, LLC
- Assisted Living Facility
- Swainsboro, GA
National Provider Identifier
1417851130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUMMER WILLOW, LLC
- Practice address
- 259 Nunez Lexsy Rd
Swainsboro, GA 30401-5170 - Phone
- (912) 562-4325
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- 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
- Sophie Vautier
- Title
- Owner
- Phone
- (478) 206-5165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
259 Nunez Lexsy Rd
Swainsboro, GA 30401-5170
Mailing address
PO Box 1314
Swainsboro, GA 30401-1314
Phone (912) 562-4325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1417851130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1314",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304011314",
"telephone_number": "912-562-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 NUNEZ LEXSY RD",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304015170",
"telephone_number": "912-562-4325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMER WILLOW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "VAUTIER",
"authorized_official_first_name": "SOPHIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-206-5165"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swainsboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.