NPIMap

Organization Active NPI

Northeast Georgia Rehabilitation Hospital LLC

Doing business as Northeast Georgia Rehabilitation Institute

  • Rehabilitation Hospital
  • Gainesville, GA
National Provider Identifier
1689485955
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
NORTHEAST GEORGIA REHABILITATION HOSPITAL LLC
Doing business as
Northeast Georgia Rehabilitation Institute
Practice address
2500 Limestone Pkwy
Gainesville, GA 30501-2089
Phone
(762) 466-8678
NPI assigned
Jan 16, 2025
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Kevin Gohman
Title
Ceo
Phone
(762) 466-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

2500 Limestone Pkwy
Gainesville, GA 30501-2089

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Northeast Georgia Rehabilitation Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509000923 GA Part A Provider - Hospital 3072030329 Practice locations: Gainesville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689485955. Details of each certification follow.

Hospital certification: CCN 113039

Legal name
NORTHEAST GEORGIA REHABILITATION HOSPITAL LLC
Doing business as
NORTHEAST GEORGIA REHABILITATION INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 2, 2025
Last certification
Jul 2, 2025
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
2500 Limestone Pkwy
Gainesville, GA 30501-2089
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Northeast Georgia Rehabilitation Institue, LLCCCN 113039 · All quality measures
Ownership
For profit
Certified
Jul 2, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2320968Northeast Georgia Rehabilitation Institute2500 Limestone Parkway, Gainesville, GA 30501Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Martin F. Mann Individual Corporate DirectorDirector Jun 3, 2025
Kevin Gohman Individual Corporate OfficerFacility Ceo Jun 3, 2025
W-2 Managing EmployeeFacility Ceo Jun 3, 2025
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 3, 2025 49%
LPNT Irf Development 62, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 3, 2025 49%
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 3, 2025 49%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 3, 2025 49%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 3, 2025 49%
David I Stark Individual Corporate DirectorDirector Jun 3, 2025
Northeast Georgia Medical Center, Inc. Organization, Gainesville, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 3, 2025 51%
Kevin J Matson Individual Corporate DirectorDirector Jun 3, 2025
Roy M Griffin Individual Corporate DirectorDirector Jun 3, 2025
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 3, 2025 49%
John Kueven Individual Corporate DirectorDirector Jun 3, 2025

Owners & managing parties with NPI records 5

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

Facilities with the same owner 71

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

View all 71

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1689485955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LIMESTONE PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012089",
            "telephone_number": "762-466-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "GOHMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "762-466-8678"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Georgia Rehabilitation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.