Palmyra Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1047703 Issued in GA

Legal business name

PALMYRA NURSING HOME, INC

Practice address

1904 Palmyra Rd
Albany, GA 31701-1575

Phone

(229) 883-0500

Fax

(229) 883-3590

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By 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

Davis W King

Title

President

Phone

(229) 639-0021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609809896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317020385",
            "telephone_number": "229-639-0021",
            "fax_number": "229-639-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011575",
            "telephone_number": "229-883-0500",
            "fax_number": "229-883-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMYRA NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-639-0021"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1047703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Vincent Palazzolo, MD
• Abby Palmer, RN
• Rhonda L Palmer, RPT
• Palmyra Brain & Spine Center, LLC
• Palmyra Emergency Group LLC
• Palmyra Park Hospital, Inc. (Palmyra Medical Centers)
• Palmyra Park Hospital, Inc. (Palmyra Medical Centers)
• Palmyra Park Hospital, Inc. (Palmyra Medical Centers)
• Palmyra Professional Fees LLC
• Aseem Prakash Parasher

• Skilled Nursing Facility in Albany, GA
• Providers in Albany, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.