NPIMap

Organization Active NPI

Four County Health Care LLC

Doing business as Four County Health and Rehabilitation

  • Skilled Nursing Facility
  • Richland, GA
National Provider Identifier
1811935356
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-128-1712 Issued in GA
Legal business name
FOUR COUNTY HEALTH CARE LLC
Doing business as
Four County Health and Rehabilitation
Practice address
124 Overby Dr
Richland, GA 31825-1300
Phone
(229) 887-2021
Fax
(229) 887-3978
NPI assigned
Jun 4, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Tracy Brown
Title
Administrator
Phone
(229) 887-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-128-1712 GA Primary

Addresses

Primary practice location

124 Overby Dr
Richland, GA 31825-1300

Mailing address

PO Box 339
Richland, GA 31825-0339
Phone (229) 887-2021

Other identifiers 2

IdentifierTypeStateIssuer
00405292AMedicaidGA
51001238 001OtherBCBS

Other names 1

  • Four County Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000076 GA Part A Provider - Skilled Nursing Facility 5395652218 Practice locations: Richland, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811935356. Details of each certification follow.

Skilled nursing facility certification: CCN 115481

Legal name
FOUR COUNTY HEALTH CARE LLC
Doing business as
FOUR COUNTY HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1989
Last certification
May 1, 2025
Beds
85
Ownership / control type
Other Nonprofit
Multi-facility organization
Health System Facilities
Organization structure
LLCNon-profit
Enrollment address
124 Overby Dr
Richland, GA 31825-1300
Nursing home name
FOUR COUNTY HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Four County Health and RehabilitationCCN 115481 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8569.3 residents per day on average
Chain
Ethica Health50 facilities in the chain

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
11D0646178Four County Health Care124 Overby Drive, Richland, GA 31825Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Four County Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

124 Overby Dr
Richland, GA 31825
Phone (229) 887-2021

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jun 11, 2025
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Individual Adp of the SNF Jan 1, 2024
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Jun 11, 2025
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Amanda Lembrick Individual Operational/Managerial Control Feb 6, 2025
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Jun 16, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jun 11, 2025
Michael D Satchell Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2021
Individual Adp of the SNF Jan 1, 2025
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Organization, Sandersville, GA Corporation, For-profit Adp of the SNF Jul 17, 1990
Jacqueline Pittman Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Tracy a Brown Individual Operational/Managerial Control Dec 11, 2025
Adp of the SNF Dec 30, 2025
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Sep 30, 2003
Adp of the SNF Sep 18, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Oct 1, 2003 100%
Health Systems Facilities Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Oct 1, 2003 100%
Kimberly C Hodges Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDVP Sep 1, 2023
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024

Owners & managing parties with NPI records 2

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

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1811935356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318250339",
            "telephone_number": "229-887-2021",
            "fax_number": "229-887-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 OVERBY DR",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318251300",
            "telephone_number": "229-887-2021",
            "fax_number": "229-887-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR COUNTY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-887-2021"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-128-1712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405292A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51001238 001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four County Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, GA

Sources for this page

Verify at the official NPI Registry.