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Organization Active NPI

Riverside Nursing Center of Thomaston LLC

  • Skilled Nursing Facility
  • Thomaston, GA
National Provider Identifier
1912933367
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-145-1781 Issued in GA
Legal business name
RIVERSIDE NURSING CENTER OF THOMASTON LLC
Practice address
101 Old Talbotton Rd
Thomaston, GA 30286-4640
Phone
(706) 647-8161
Fax
(706) 646-2875
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Tammy Clay
Title
Administrator
Phone
(706) 647-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-145-1781 GA Primary

Addresses

Primary practice location

101 Old Talbotton Rd
Thomaston, GA 30286-4640

Mailing address

101 Old Talbotton Rd
Thomaston, GA 30286-4640
Phone (706) 647-8161

Other identifiers 2

IdentifierTypeStateIssuer
51001369 001OtherBCBS
000140346AMedicaidGA

Other names 1

  • Riverside 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
O20030716000037 GA Part A Provider - Skilled Nursing Facility 0042121972 Practice locations: Thomaston, GA

Skilled nursing facility certification: CCN 115353

Legal name
RIVERSIDE NURSING CENTER OF THOMASTON LLC
Doing business as
RIVERSIDE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 27, 1989
Last certification
Nov 15, 2024
Beds
73
Ownership / control type
Other Nonprofit
Multi-facility organization
HEALTH SCHOLARSHIPS
Organization structure
LLCNon-profit
Incorporated
Mar 13, 2003 in GA
Enrollment address
101 Old Talbotton Road
Thomaston, GA 30286-4640
Nursing home name
RIVERSIDE HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverside Health and RehabilitationCCN 115353
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Mar 27, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7370.0 residents per day on average
Chain
Ethica Health50 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

101 Old Talbotton Rd
Thomaston, GA 30286
Phone (706) 647-8161

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Paul a Cable Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Tammy Clay Individual Operational/Managerial Control Jul 5, 2021
Adp of the SNF Oct 1, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Oct 1, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Tamechia Pennyman Individual Operational/Managerial Control Apr 14, 2023
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Michael D Satchell Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Oct 1, 2025
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Organization, Gray, GA LLC, Medical provider/supplier, Non-profit Adp of the SNF Oct 1, 2025
Jacqueline Pittman Individual Operational/Managerial Control Jan 1, 2026
Managing Control - Governing BodyVice President of Operations Jan 1, 2026
Individual Adp of the SNF Jan 1, 2025
Organization, Thomaston, GA Adp of the SNF Jul 3, 2002
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jul 1, 2007 100%
Adp of the SNF Oct 1, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Apr 1, 2003 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Apr 1, 2003 100%
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 5

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

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1912933367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD TALBOTTON RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864640",
            "telephone_number": "706-647-8161",
            "fax_number": "706-646-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD TALBOTTON RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302864640",
            "telephone_number": "706-647-8161",
            "fax_number": "706-646-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE NURSING CENTER OF THOMASTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-647-8161"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-145-1781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51001369 001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140346A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.