Douglasville Nursing and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-048-1741 Issued in GA

Legal business name

DOUGLASVILLE NURSING AND REHABILITATION CENTER, LLC

Practice address

4028 Highway 5
Douglasville, GA 30135-3530

Phone

(770) 942-7111

Fax

(770) 489-1268

NPI assigned

Jan 6, 2006

Last updated

Apr 24, 2026By 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. Norbert A Bennett

Title

Co Chief Executive Officer

Phone

(716) 662-4955

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 5

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.

• Rodney J Avery, M.D.

  • Internal Medicine Physician
  • Gainesville, GA
  • NPI 1710140132
  NPD (past)
• Priti V Jindal, MD

  • Internal Medicine Physician
  • Canton, GA
  • NPI 1003850322
  NPD (past)
• Kirpich Joseph, M.D.

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1750373023
  NPD (past)
• Victor Ezinna Okeh, M.D.

  • Internal Medicine Physician
  • Riverdale, GA
  • NPI 1104092048
  NPD (past)
• Brij M Singh, MD

  • Internal Medicine Physician
  • Rome, GA
  • NPI 1427068642
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1710965033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 0428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-662-4955",
            "fax_number": "716-667-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353530",
            "telephone_number": "770-942-7111",
            "fax_number": "770-489-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASVILLE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-662-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-048-1741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141083A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglasville Expresscare, LLC
• Douglasville Eye Clinic PC
• Douglasville FS Inc (Foot Solutions)
• Douglasville Islamic Women's Shelter and Services, Inc (Majana Community Services)
• Douglasville Nephrology & HTN Clinic
• Douglasville Psychological Outpatient Services
• Douglasville Therapeutic Massage, Inc
• Douglasville Wellness and Chiropractic Center Inc
• Cherice Doyley, PHARMD.
• Morieo Dozier, RN

• Skilled Nursing Facility in Douglasville, GA
• Providers in Douglasville, 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 Apr 24, 2026; 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.