NPIMap

Organization Active NPI

The Hospital Authority of Miller County

Doing business as Calhoun Nursin Home

  • Skilled Nursing Facility
  • Edison, GA
National Provider Identifier
1649353111
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Doing business as
Calhoun Nursin Home
Calhoun Nursing Home
Practice address
265 Turner St
Edison, GA 39846-6039
Phone
(229) 835-2251
Fax
(229) 835-2100
NPI assigned
Oct 20, 2006
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Ms. Robin A Rau
Title
Ceo
Phone
(229) 758-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

265 Turner St
Edison, GA 39846-6039

Mailing address

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-4200

Other identifiers 1

IdentifierTypeStateIssuer
000140478AMedicaidGA

Other names 2

  • Calhoun Nursin Home Doing business as
  • Calhoun Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130401000286 GA Part A Provider - Skilled Nursing Facility 0244224947 Practice locations: Edison, GA
O20221213002333 GA Part B Supplier - Clinic/Group Practice 0244224947 Receives reassigned benefits from 2 practitioners
Practice locations: Edison, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649353111. Details of each certification follow.

Skilled nursing facility certification: CCN 115264

Legal name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Doing business as
CALHOUN NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1979
Last certification
May 1, 2025
Beds
60
Ownership / control type
Hospital District
Multi-facility organization
Hospital Authority of Miller County
Most recent change of ownership
Feb 1, 2013
Organization structure
GovernmentNon-profit
Enrollment address
265 Turner Street
Edison, GA 39846-6039
Nursing home name
CALHOUN NURSING HOME

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Calhoun Nursing HomeCCN 115264 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Aug 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6057.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Miller Co Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
The Hospital Authority of Miller County Organization, Colquitt, GA 5% Or Greater Direct Ownership Interest Feb 1, 2013 100%
Robin a Rau Individual W-2 Managing EmployeeCeo Feb 1, 2013

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Miller County HospitalColquitt, GA, CCN 111305 Hospital 5% Or Greater Direct Ownership Interest Feb 24, 2014
Miller County HospitalColquitt, GA, CCN 11Z305 Hospital 5% Or Greater Direct Ownership Interest Feb 24, 2014
Miller Nursing HomeColquitt, GA, CCN 115039 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 26, 1966
Miller Home HealthColquitt, GA, CCN 117801 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2020
Robert E Jennings Medical ClinicArlington, GA, CCN 113497 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 4, 2013

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1649353111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-758-4200",
            "fax_number": "229-758-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 TURNER ST",
            "city": "EDISON",
            "state": "GA",
            "postal_code": "398466039",
            "telephone_number": "229-835-2251",
            "fax_number": "229-835-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL AUTHORITY OF MILLER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-758-5954",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140478A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun Nursin Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calhoun Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, GA

Sources for this page

Verify at the official NPI Registry.