NPIMap

Organization Active NPI

Wellstar MCG Health Warm Springs, Inc.

Doing business as Roosevelt Warm Springs Rehabilitation Hospital

  • Rehabilitation Hospital
  • Warm Springs, GA
National Provider Identifier
1760892657
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
099684 Issued in GA
Legal business name
WELLSTAR MCG HEALTH WARM SPRINGS, INC.
Doing business as
Roosevelt Warm Springs Rehabilitation Hospital
Wellstar Roosevelt Rehabilitation at Warm Springs
Practice address
6135 Roosevelt Hwy
Warm Springs, GA 31830-2757
Phone
(706) 655-5461
Fax
(706) 655-5011
NPI assigned
May 1, 2014
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Joseph Reppert
Title
Senior Vice President of Finance
Phone
(470) 644-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 099684 GA Primary

Addresses

Primary practice location

6135 Roosevelt Hwy
Warm Springs, GA 31830-2757

Mailing address

6135 Roosevelt Hwy
PO Box 280
Warm Springs, GA 31830-2757
Phone (706) 655-5461

Other identifiers 1

IdentifierTypeStateIssuer
000000778AMedicaidGA

Other names 2

  • Roosevelt Warm Springs Rehabilitation Hospital Doing business as
  • Wellstar Roosevelt Rehabilitation at Warm Springs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140925002215 GA Part A Provider - Hospital 8820217706 Practice locations: Warm Springs, GA
O20150708001997 GA Part B Supplier - Clinic/Group Practice 8820217706 Receives reassigned benefits from 34 practitioners
2 other NPIs on this enrollment
Practice locations: Warm Springs, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760892657. Details of each certification follow.

Hospital certification: CCN 113028

Legal name
ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS INC
Doing business as
WELLSTAR ROOSEVELT REHABILITATION CARE AT WARM SPRINGS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 1, 2006
Last certification
May 17, 2023
Beds
52
Ownership / control type
State
Organization structure
CorporationNon-profit
Incorporated
Feb 6, 2014 in GA
Enrollment address
6135 Roosevelt Highway
Warm Springs, GA 31830-2757
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Wellstar Roosevelt Rehab Care at Warm SpringsCCN 113028 · All quality measures
Ownership
Government
Certified
Jul 1, 2006
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
11D2082697Wellstar Roosevelt Rehabilitation Care6135 Roosevelt Highway, Warm Springs, GA 31830Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rsvlt WRM Sprgs Rehab4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6135 Roosevelt Hwy
Warm Springs, GA 31830
Phone (706) 655-5461

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
William C Brock Individual Corporate DirectorBoard Member Aug 29, 2023
Au Health System Inc Organization, Augusta, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 29, 2023
Joseph a Reppert Individual Corporate DirectorInterim Cfo & SVP Finance Apr 4, 2024
W-2 Managing EmployeeInterim Cfo & SVP Finance Apr 4, 2024
Orrin S Swayze Individual Corporate DirectorBoard Member Aug 29, 2023
John C McKibben Individual Corporate DirectorBoard Member Aug 29, 2023
Hiram Speer Burdette Individual Corporate DirectorBoard Member Aug 29, 2023
Keith Parker Individual Corporate DirectorBoard Member Aug 29, 2023
Paul Lawrence Douglass Individual Corporate DirectorBoard Member Aug 29, 2023
Mitzi Moore Individual Corporate DirectorBoard Member Aug 29, 2023
Wellstar Health System Inc Organization, Marietta, GA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 29, 2023
James Glen Cunningham Individual Corporate DirectorBoard Member Aug 29, 2023
Ebenezer Erzuah Individual W-2 Managing EmployeeExecutive Director Government Reimb Aug 29, 2023
Mark Berry Individual Corporate DirectorBoard Member Aug 29, 2023
James Holmes Individual Corporate DirectorBoard Member Aug 29, 2023
Candice Saunders Individual Corporate OfficerPresident & Chief Executive Officer Aug 29, 2023
W-2 Managing EmployeePresident & Chief Executive Officer Aug 29, 2023 100%
James Swartz Individual Corporate DirectorVice President Accounting Apr 4, 2024
W-2 Managing EmployeeVice President Accounting Aug 29, 2023
Greg Morgan Individual Corporate DirectorBoard Member Aug 29, 2023
James L Hornsby Individual Corporate DirectorBoard Member Aug 29, 2023
Edward Richardson Individual Corporate DirectorBoard Member Aug 29, 2023
Arif Abdul Aziz Individual Corporate DirectorBoard Member Aug 29, 2023
David Bottoms Individual Corporate DirectorBoard Member Aug 29, 2023
Frank Ros Individual Corporate DirectorBoard Member Aug 29, 2023

Owners & managing parties with NPI records 4

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 34

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 34

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": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1760892657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 ROOSEVELT HWY",
            "address_2": "PO BOX 280",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302757",
            "telephone_number": "706-655-5461",
            "fax_number": "706-655-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 ROOSEVELT HWY",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302757",
            "telephone_number": "706-655-5461",
            "fax_number": "706-655-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR MCG HEALTH WARM SPRINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "470-644-0060"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "099684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000778A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roosevelt Warm Springs Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellstar Roosevelt Rehabilitation at Warm Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warm Springs, GA

Sources for this page

Verify at the official NPI Registry.