Greatest Generation, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GREATEST GENERATION, INC.

Doing business as

The Shannon Gray Rehabilitation & Recovery Center

Practice address

2005 Shannon Gray CT
Jamestown, NC 27282-9183

Phone

(336) 307-4729

Fax

(336) 307-4961

NPI assigned

Mar 13, 2009

Last updated

Dec 8, 2010By 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

Mr. Richard Gray Bennett, LNHA

Title

President

Phone

(336) 253-6491

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Shannon Gray Rehabilitation & Recovery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669613071. Details of each certification follow.

• CCN 345552 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345552

Legal name

GREATEST GENERATION, INC.

Doing business as

THE SHANNON GRAY REHABILITATION & RECOVERY CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 9, 2010

Last certification

Apr 3, 2025

Beds

150

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 7, 2006 in NC

Enrollment address

2005 Shannon Gray Court
Jamestown, NC 27282-2005

Nursing home name

THE SHANNON GRAY REHABILITATION & RECOVERY CENTER

Listed as

The Shannon Gray Rehabilitation & Recovery CenterCCN 345552 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 9, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150101.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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

Practitioners 2

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.

• Murugananthan Pudunagar Subbiah, M.D.

  • Internal Medicine Physician
  • Elkin, NC
  • NPI 1740252469
  NPD (past)
• Virginia M Stewart, MD

  • Emergency Medicine Physician
  • Norfolk, VA
  • NPI 1245490051
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Virginia M Stewart, MD

  • Emergency Medicine Physician
  • Norfolk, VA
  • NPI 1245490051

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1669613071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LANE DR",
            "city": "TRINITY",
            "state": "NC",
            "postal_code": "273709343",
            "telephone_number": "336-431-8888",
            "fax_number": "336-431-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SHANNON GRAY CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829183",
            "telephone_number": "336-307-4729",
            "fax_number": "336-307-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATEST GENERATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-253-6491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405552",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shannon Gray Rehabilitation & Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard John Foster Jr., DMD
• Terri L Frid, CD(DONA), HCHD, HCHI
• Marian B Gergis, PHARMD
• Sarah Glanville, LICSW
• Graypothecary, LLC
• Shanae Michele Green
• Thomas R Green Jr.
• Crystal Washington Grice, LCMHC
• SE Hyang Han, NP
• Jessica E. Hartman, MD

• Skilled Nursing Facility in Jamestown, NC
• Providers in Jamestown, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.