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NPI 1639166234
● Active Type 2 · Organization
Ga Department Of Human Resources
Skilled Nursing Facility · Gracewood, GA · NPI 1639166234
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Enumerated 2005 · 20 years on NPI
Ga Department Of Human Resources is 1 of 794 skilled nursing facility organizations in Georgia.
NPI age
20 years
Enumerated 2005-09-29
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Regional Hospital Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2005 → 2026
2005-09 Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
100 Myrtle Blvd
Gracewood, GA 308121500
📞 7067902042 fax 7067902476
Mailing address
100 Myrtle Blvd
Gracewood, GA 308121500
📞 7067902042 fax 7067902476
Authorized official
Gail C Jackson, M.D.
Regional Hospital Administrator
📞 7067902030
Individual providers at this organization
11 individual providers on file at this primary practice address.
Kimberly Cole , D.M.D.
Dentist
NPI 1730349705
Inoka Devapriya , MD
General Practice
NPI 1629463864
John Helman , DMD
Dentist
NPI 1275600876
Ronald Hyman , M.D.
Psychiatry & Neurology
NPI 1164523536
Gail Jackson , M.D.
Pediatrics
NPI 1417165531
Cynthia Kucela , RPH
Pharmacist
NPI 1427434273
Terri Lawless , M.D.
Pediatrics
NPI 1235226986
Eliza Myers , D.M.D.
Dentist
NPI 1962720664
Sopheap Pin , PHARMD
Pharmacist
NPI 1104330398
Martin Saumweber , M.D.
Family Medicine
NPI 1538256029
Denise Smith , M.D.
Pediatrics
NPI 1083704712
Specialties
Skilled Nursing Facility
Primary
(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...
GA license #1121694 taxonomy 314000000X
Identifiers
Type Value Notes
05 (GA)
00140709A
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
11 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.