Organization Active NPI

Donalsonville Hospital, Inc

Doing business as D/B/A Seminole Manor Nursing Home

  • Skilled Nursing Facility
  • Donalsonville, GA
National Provider Identifier
1710975206
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DONALSONVILLE HOSPITAL, INC
Doing business as
D/B/A Seminole Manor Nursing Home
Practice address
100 Hospital Cir
Donalsonville, GA 39845-1100
Phone
(229) 524-5217
Fax
(229) 524-6038
NPI assigned
Oct 10, 2005
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mr. Charles H. Orrick, NHA
Title
Administrator
Phone
(229) 524-5217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Hospital Cir
Donalsonville, GA 39845-1100

Mailing address

102 Hospital Cir
Donalsonville, GA 39845-1100
Phone (229) 524-5217

Other identifiers 2

IdentifierTypeStateIssuer
00142909MedicaidGA
115712OtherGATPAN

Other names 1

  • D/B/A Seminole Manor Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421001077 GA Part A Provider - Skilled Nursing Facility 7113919820 Practice locations: Donalsonville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710975206. Details of each certification follow.

Skilled nursing facility certification: CCN 115712

Legal name
DONALSONVILLE HOSPITAL INC
Doing business as
SEMINOLE MANOR NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2005
Last certification
Apr 25, 2025
Beds
75
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Donalsonville Hospital Inc
Organization structure
CorporationNon-profit
Incorporated
Dec 15, 1977 in GA
Enrollment address
100 Florence Ave
Donalsonville, GA 39845-1100
Nursing home name
SEMINOLE MANOR NURSING HOME

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Seminole Manor Nursing HomeCCN 115712 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7566.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
11D2195797Seminole Manor Nursing Home100 Florence Street, Donalsonville, GA 39845Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Donalsonville Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

100 Florence Ave
Donalsonville, GA 39845
Phone (229) 524-2733

100 Hospital Cir
Donalsonville, GA 39845

205 Bresee St
Donalsonville, GA 39845
Phone (229) 524-1307

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/donalso-e0e81471

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Karen Livingston Individual Corporate OfficerCfo Dec 1, 2025
Marian Hunter Individual Corporate OfficerNursing Home Administrator Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 26, 2026
Terry Shamblin Individual Managing Control - Governing Body Jan 1, 2023
Individual Adp of the SNF Jan 26, 2026
Virginia Whittaker Individual Managing Control - Governing Body Jan 1, 2023
William Burke Individual Managing Control - Governing Body Jan 1, 2023
William J Moody Individual Corporate OfficerHospital Administrator Jan 1, 2023
Herman Brookins Individual Corporate OfficerBoard President Jan 1, 2023
Managing Control - Governing BodyPresident of the Board Jan 1, 2023
Mitchell Blanks Individual Managing Control - Governing Body Jan 1, 2023
Charles H Orrick Individual Managing Control - Governing Body Jan 1, 2023

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Donalsonville Hospital IncDonalsonville, GA, CCN 110194 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jul 1, 2017
Oct 1, 1991
Donalsonville Hospital Swing Bed UnitDonalsonville, GA, CCN 11U194 Hospital Operational/Managerial Control (100%) Oct 1, 1991

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 6

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1710975206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HOSPITAL CIR",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451100",
            "telephone_number": "229-524-5217",
            "fax_number": "229-524-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL CIR",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451100",
            "telephone_number": "229-524-5217",
            "fax_number": "229-524-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALSONVILLE HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "ORRICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-524-5217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142909",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPAN",
            "identifier": "115712",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Seminole Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Donalsonville, GA

Sources for this page

Verify at the official NPI Registry.