Sears Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10631658 Issued in GA

Legal business name

SEARS NURSING HOME, LLC

Practice address

3311 Lee St
Brunswick, GA 31520-4120

Phone

(912) 264-1857

Fax

(912) 267-0505

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William C. Davis Jr.

Title

President

Phone

(478) 988-1294

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Skilled nursing facility certification: CCN 115520

Legal name

SEARS NURSING HOME LLC

Doing business as

SEARS MANOR NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1992

Last certification

May 21, 2025

Beds

100

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Crossroads Medical Management

Most recent change of ownership

Jul 1, 2003

Organization structure

LLCProprietary

Enrollment address

3311 Lee St
Brunswick, GA 31520-4120

Nursing home name

SEARS MANOR NURSING HOME

Affiliated entity

CROSSROADS MEDICAL MANAGEMENT

Listed as

Sears Manor Nursing HomeCCN 115520 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10072.6 residents per day on average

Chain

Crossroads Medical Management6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

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

• Appavuchetty Soundappan, MD

  • Internal Medicine Physician
  • Perry, GA
  • NPI 1912951500

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Bayview Nursing Home, LLC

  • Skilled Nursing Facility
  • Nahunta, GA
  • NPI 1053300566

  Crossroads Medical Management, Inc.

  CMS ownership
• Rockmart Health, LLC

  • Skilled Nursing Facility
  • Rockmart, GA
  • NPI 1538512256

  Crossroads Medical Management, Inc.

  CMS ownership
• Summerhill, LLC

  • Skilled Nursing Facility
  • Perry, GA
  • NPI 1083603609

  Crossroads Medical Management, Inc.

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Appavuchetty Soundappan, MD

  • Internal Medicine Physician
  • Perry, GA
  • NPI 1912951500
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Appavuchetty Soundappan, MD

  • Internal Medicine Physician
  • Perry, GA
  • NPI 1912951500

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1851380372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MACON RD",
            "address_2": "STE D",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692679",
            "telephone_number": "478-988-1294",
            "fax_number": "478-988-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 LEE ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204120",
            "telephone_number": "912-264-1857",
            "fax_number": "912-267-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-988-1294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10631658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142898A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000142898B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ansley Brooke Scott, RPH
• Sarah Scribbins, DDS
• Sea Pines Oral and Facial Surgery, PC
• John Mark Seacat, O.D.
• Eric Devon Seals, LAPC
• Seaside Ophthalmology, Inc
• Seaside Pharmaceutical Inc
• Seaside Surgical, LLC
• Daniel Edward Seay, MD
• Eric C Segerberg, M.D

• Skilled Nursing Facility in Brunswick, GA
• Providers in Brunswick, 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 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.