NPIMap

Organization Active NPI

John D. Archbold Memorial Hospital, Inc.

  • Skilled Nursing Facility
  • Thomasville, GA
National Provider Identifier
1508806142
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-136-976 Issued in GA
Legal business name
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Practice address
10629 US Highway 19 S
Thomasville, GA 31792-1127
Phone
(229) 226-8942
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Mr. Gregory S. Hembree
Title
Cfo
Phone
(229) 228-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-136-976 GA Primary

Addresses

Primary practice location

10629 US Highway 19 S
Thomasville, GA 31792-1127

Mailing address

920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800

Other identifiers 1

IdentifierTypeStateIssuer
000141149AMedicaidGA

Other names 1

  • Glenn-Mor Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000826 GA Part A Provider - Skilled Nursing Facility 4981502622 Practice locations: Thomasville, GA

Skilled nursing facility certification: CCN 115480

Legal name
JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
Doing business as
ARCHBOLD LIVING THOMASVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1990
Last certification
Jan 15, 2025
Beds
64
Ownership / control type
Nonprofit Corporation
Multi-facility organization
John D Archbold Memorial Hospital
Organization structure
OtherNon-profit
Incorporated
May 2, 1983 in GA
Enrollment address
10629 US Highway 19 S
Thomasville, GA 31792-1127
Nursing home name
ARCHBOLD LIVING THOMASVILLE

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
Archbold Living ThomasvilleCCN 115480
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6460.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
John D Archbold Memorial Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Organization, Albany, GA Adp of the SNF Apr 11, 2025
Andrea Kidd Collins Individual Corporate OfficerBoard Member Feb 25, 2025
James Womack Individual Corporate OfficerVP Critical Access/Post Acute Dec 19, 2020
Craig R Wentworth Individual Corporate DirectorBoard Member Jul 1, 2021
Organization, Nashville, TN LLC Adp of the SNF Apr 11, 2025
Patricia L Barrett Individual Operational/Managerial Control Dec 16, 1991
Carla Pearce Individual Corporate OfficerChief Accounting Officer Jul 1, 2021
Brian J Szwarc Individual Corporate DirectorBoard Member Oct 1, 2021
Sina E. Griffith Individual Corporate DirectorBoard Member Oct 1, 2021
Jason Odell Burnette Individual Corporate OfficerBoard Member Mar 1, 2025
Josh David Simmons Individual Corporate DirectorBoard Member Jan 1, 2023
John D Archbold Memorial Hospital Inc Organization, Thomasville, GA Corporation, Chain home office Operational/Managerial Control Jul 1, 1994
Adp of the SNF Apr 11, 2025
Henry a. Stone Individual Corporate DirectorBoard Member Oct 1, 2021
Timothy Eric Ward Individual Corporate OfficerBoard Member Feb 25, 2025
Karen L Bramblett Individual Corporate DirectorBoard Member Jan 1, 2023
Darcy M Craven Individual Corporate OfficerPresident and Ceo Jul 1, 2021
Joe S Carnline Individual Corporate DirectorBoard Member Jan 1, 2023
Ashley T. Cason Individual Corporate DirectorBoard Member Jan 1, 2023
Christopher L Daniels Individual Corporate OfficerBoard Member Mar 1, 2025
Loren Rials Individual Corporate OfficerSVP/Cfo Aug 18, 2025
Marvin E. Dawson Individual Corporate DirectorBoard Member Jan 1, 2023
Organization, Albany, GA LLC Adp of the SNF Apr 11, 2025
William G Hamil Individual Corporate DirectorBoard Member Jan 28, 2023
Jami Porter Individual Corporate DirectorBoard Member Jan 1, 2023
Gregory Hembree Individual Corporate OfficerSenior Vice President/Cfo Dec 5, 2016
Jason Griffin Individual Adp of the SNF Apr 10, 2025
Jacquelyn V. Santoro Individual Corporate DirectorBoard Member Jan 1, 2023
Jason M Nesmith Individual Corporate DirectorBoard Member Oct 1, 2021
Organization, Maitland, FL LLC Adp of the SNF Apr 11, 2025
Tammy Gurley Individual Corporate OfficerSNF Administrator Mar 13, 2022
Operational/Managerial Control Mar 13, 2022
Adp of the SNF May 19, 2025
Organization, San Diego, CA LLC Adp of the SNF Apr 11, 2025

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 12

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

FacilityTypeRoleSince
Archbold Brooks SwingbedQuitman, GA, CCN 11Z332 Hospital Operational/Managerial Control Jun 1, 1987
Archbold GradyCairo, GA, CCN 110121 Hospital Operational/Managerial Control Apr 26, 2007
Archbold Grady SwingbedCairo, GA, CCN 11U121 Hospital Operational/Managerial Control Apr 26, 2007
Archbold MitchellCamilla, GA, CCN 111331 Hospital Operational/Managerial Control Jul 2, 1990
Archbold Mitchell SwingbedCamilla, GA, CCN 11Z331 Hospital Operational/Managerial Control Dec 20, 2006
Archbold BrooksQuitman, GA, CCN 111332 Hospital Operational/Managerial Control Jun 11, 1987
Mitchell County Nursing HomesCamilla, GA, CCN 115266 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 1990
Oct 1, 1990
Archbold Living CairoCairo, GA, CCN 115776 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Jun 19, 2025
Sep 26, 2023
Hospice of Southwest GeorgiaThomasville, GA, CCN 111521 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2023
Jan 1, 2023
Archbold Pediatrics CamillaCamilla, GA, CCN 113474 Rural health clinic Operational/Managerial Control (100%) May 29, 2014
Archbold Primary Care CamillaCamilla, GA, CCN 118519 Rural health clinic Operational/Managerial Control (100%) Jul 2, 1990
Archbold Primary Care PelhamPelham, GA, CCN 118544 Rural health clinic Operational/Managerial Control (100%) Aug 26, 2013

Owned or controlled facilities with NPI records 15

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

View all 15

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1508806142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800",
            "fax_number": "229-228-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10629 US HIGHWAY 19 S",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317921127",
            "telephone_number": "229-226-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "HEMBREE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-228-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-136-976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141149A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenn-Mor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.