SOUTHEAST GEORGIA HEALTH SYSTEM, INC. (NPI# 1720169147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720169147 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST GEORGIA HEALTH SYSTEM, INC. |
| Other Organization Name | SENIOR CARE CENTER - ST. MARYS |
| Practice Address |
805 Dilworth St Saint Marys GA 31558-8673 |
| Mailing Address |
2415 Parkwood Dr Brunswick GA 31520-4722 |
| Practice Telephone | 9128824281 |
| Practice Fax Number | 9128829502 |
| Mailing Telephone | 9124667000 |
| Mailing Fax Number | 9124667026 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | MR. MICHAEL DAVID SCHERNECK (PRESIDENT & CEO) |
| Authorized Official Telephone | 9124667049 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00143129A | 05 |
| Other Name | Type Code |
|---|---|
| Senior Care Center - St. Marys | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619135464 | Southeast Georgia Health System, Inc. | Skilled Nursing Facility | 2611 Wildwood Dr, Brunswick, GA 31520-4250 | 2008-05-29 |
| 1598784720 | Southeast Georgia Health System, Inc. | Psychiatry & Neurology | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2006-07-19 |
| 1194744326 | Southeast Georgia Health System, Inc. | General Acute Care Hospital | 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 | 2006-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHEAST GEORGIA HEALTH SYSTEM, INC. | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Street Address |
805 DILWORTH ST |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558-8673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699154856 | Alesia Kate Martin | Physical Therapy Assistant | 805 Dilworth St, Saint Marys, GA 31558-8673 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205281961 | Hannnah A Schatz | Skilled Nursing Facility | 581 Fillmore Rd, Saint Marys, PA 15857-1903 | 2016-05-02 |
| 1760554588 | Elk Haven Nursing Home Association | Skilled Nursing Facility | 785 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2006-11-15 |
| 1306947866 | Essex Healthcare Corporation | Skilled Nursing Facility | 1209 Indiana Ave, Saint Marys, OH 45885-1310 | 2006-09-26 |
| 1801888235 | Otterbein St. Marys | Skilled Nursing Facility | 11230 State Route 364, Saint Marys, OH 45885-9534 | 2005-08-22 |
| 1770588709 | Elk Regional Health Center | Skilled Nursing Facility | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2005-06-16 |
| 1588075592 | Vlop LLC | Skilled Nursing Facility | 1140 S Knoxville Ave, Saint Marys, OH 45885-2609 | 2014-05-13 |
| 1598918237 | Ggnsc Saint Marys LLC | Skilled Nursing Facility | 1140 S Knoxville Ave, Saint Marys, OH 45885-2609 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281982 | Georgia Regional Health Services LLC | Skilled Nursing Facility | 3731 Lake Pass Ln, Suwanee, GA 30024-8422 | 2020-09-30 |
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1205486859 | Magnolia Manor of Liberty County, Inc. | Skilled Nursing Facility | 625 N Coastal Hwy # 17, Midway, GA 31320-3433 | 2019-09-16 |
| 1497301170 | Prestige Health Services LLC | Skilled Nursing Facility | 1770 Indian Trail Lilburn Rd Ste 420, Norcross, GA 30093-2644 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1689131724 | Favor Home Health Care Services, LLC | Skilled Nursing Facility | 51 Gallery Ct, Acworth, GA 30101-2709 | 2019-02-25 |
| 1104398866 | University Extended Care, Inc | Skilled Nursing Facility | 1005 Highway 88 N, Keysville, GA 30816 | 2018-12-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.