Taylor Regional Hospital
Organization Active NPI Skilled Nursing Facility · Hawkinsville, GA
NPI 1962800052 · NPPES record last updated Sep 10, 2015
Key facts
- NPI
- 1962800052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- TAYLOR REGIONAL HOSPITAL
- Practice address
- 277 Commerce St
Hawkinsville, GA 31036-8415 - Phone
- (478) 892-9171
- NPI assigned
- Dec 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Nikki N Paulk
- Title
- Ceo
- Phone
- (478) 783-0263
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 16
Member organizations 8
Practitioners 11
-
Guy T Easterling, DO
-
Martin A Baggett, MD
-
Tonya C Beck, FNP-C
-
Robert C. Campbell, M.D.
-
Jamie Lynn Day, FNP
-
Holly Howell, FNP-C
-
Jessica L Newby, NP-C
-
Dlynn Danielle Rogers, APRN
Affiliated clinicians 1
-
Guy T Easterling, DO
Medicare Care Compare: Nursing home
- Listed as
- Pinewood Healthcare Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 1, 1995
- Medicare certification status
- Active
- Certified beds
- 102 · 50.2 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Skilled nursing facility certification: CCN 115586
- Legal name
- TAYLOR REGIONAL HOSPITAL
- Doing business as
- PINEWOOD MANOR NURSING HOME AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1995
- Last certification
- Mar 14, 2025
- Beds
- 102
- Ownership / control type
- Individual
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 227 Commerce St
Hawkinsville, GA 31036-8415 - Nursing home name
- PINEWOOD HEALTHCARE CENTER
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Karen McLeod |
W-2 Managing Employee |
Jun 14, 2016 | |
| John Green |
W-2 Managing Employee |
Oct 1, 2018 | |
| Ronald Crump |
W-2 Managing Employee |
Dec 23, 2014 | |
| Taylor Regional Hospital |
5% Or Greater Direct Ownership Interest | Dec 23, 2014 | 100% |
| Richard Stokes |
Corporate Director | Aug 31, 2020 | |
| W-2 Managing Employee | Aug 31, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150318000271 | GA | Part a Provider - Skilled Nursing Facility | 6800795154 | Practice locations: Hawkinsville, GA |
National Provider Directory
- Tax ID family
- Ortho Assoc of Central
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | GA | Yes |
Addresses
Primary practice location
277 Commerce St
Hawkinsville, GA 31036-8415
Mailing address
222 Perry Hwy
Hawkinsville, GA 31036-6748
Phone (478) 627-3213
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00142513A | Medicaid | GA |
Other names
- Pinewood Manor Nursing Home and Rehabilitation Center
Other providers in Hawkinsville, GA
- Taylor Regional Hospital
- Taylor Regional Hospital
- Taylor Regional Hospital
- Taylor Regional Hospital
- Taylor Regional Hospital
- Violet G Tewelde
- The Newberry Institute
- The Oaks Nursing Home, Inc
- Keyondria Thomas
- Kyle Taylor Thombley
All providers in Hawkinsville, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.