NPIMap

Organization Active NPI

Putnam County Health Care LLC

Doing business as Eatonton Health and Rehabilitation

  • Skilled Nursing Facility
  • Eatonton, GA
National Provider Identifier
1992799860
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-117-1769 Issued in GA
Legal business name
PUTNAM COUNTY HEALTH CARE LLC
Doing business as
Eatonton Health and Rehabilitation
Practice address
125 Sparta Hwy
Eatonton, GA 31024-6093
Phone
(706) 485-8573
Fax
(706) 485-8283
NPI assigned
Sep 7, 2005
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
Shalonda Wells
Title
Administrator
Phone
(706) 485-8573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-117-1769 GA Primary

Addresses

Primary practice location

125 Sparta Hwy
Eatonton, GA 31024-6093

Mailing address

125 Sparta Highway
Eatonton, GA 31024
Phone (706) 485-8573

Other identifiers 1

IdentifierTypeStateIssuer
000223473AMedicaidGA

Other names 1

  • Eatonton 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
O20080910000459 GA Part A Provider - Skilled Nursing Facility 5092881367 Practice locations: Eatonton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992799860. Details of each certification follow.

Skilled nursing facility certification: CCN 115595

Legal name
PUTNAM COUNTY HEALTH CARE LLC
Doing business as
EATONTON HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1996
Last certification
Jan 28, 2024
Beds
104
Ownership / control type
Other Nonprofit
Multi-facility organization
Health Systems Facilities Inc
Organization structure
LLCNon-profit
Incorporated
Dec 28, 2007 in GA
Enrollment address
125 Sparta Hwy
Eatonton, GA 31024-6093
Nursing home name
EATONTON HEALTH AND REHABILITATION
Affiliated entity
ETHICA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eatonton Health and RehabilitationCCN 115595 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Feb 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10477.2 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

125 Sparta Hwy
Eatonton, GA 31024

Ownership & related parties

All disclosed owners & managing parties 19

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
Organization, Gray, GA Corporation, Non-profit Adp of the SNF Aug 4, 2025
Ralph Parks Warnock Individual Managing Control - Governing BodyBoard Member Jun 23, 2020
Organization, Gray, GA LLC, Non-profit Adp of the SNF Dec 30, 2022
Ronnie D Rollins Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Individual Adp of the SNF Jan 1, 2025
Organization, Macon, GA LLC, Non-profit Adp of the SNF Jul 30, 2025
Dave a Ringer Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Shalonda Wells Individual Operational/Managerial Control Feb 9, 2026
Adp of the SNF Feb 10, 2026
Gregory Davis Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyDivision Vice President Sep 1, 2023
Kathryn Dennis Individual Managing Control - Governing BodyBoard Member Nov 17, 2015
Marissa Yarbrough Individual Operational/Managerial Control Oct 22, 2025
Clinical Services Inc Organization, Gray, GA Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2008
Adp of the SNF Apr 23, 2025
Community Health Systems Inc Organization, Macon, GA Corporation, Non-profit Indirect Ownership Interest Jan 1, 2008 100%
Health Scholarships Inc Organization, Gray, GA Corporation, Holding company, Non-profit Direct Ownership Interest Jul 1, 2023 100%
Organization, Hawkinsville, GA Corporation, Medical provider/supplier, Non-profit Adp of the SNF Jul 30, 2025
Joseph a Wall Individual Managing Control - Governing BodyBoard Member Mar 14, 2003
Joseph Nichols Individual Managing Control - Governing BodyBoard Member Nov 19, 2024
Individual Adp of the SNF Jan 1, 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 3

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 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": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1992799860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SPARTA HIGHWAY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "31024",
            "telephone_number": "706-485-8573",
            "fax_number": "706-485-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SPARTA HWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246093",
            "telephone_number": "706-485-8573",
            "fax_number": "706-485-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-485-8573"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-117-1769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000223473A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eatonton Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eatonton Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatonton, GA

Sources for this page

Verify at the official NPI Registry.