P Praxis·MD
● Active Type 2 · Organization

Ga Department Of Human Resources

Skilled Nursing Facility·Gracewood, GA· NPI 1639166234 · 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
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
100 Myrtle Blvd
Gracewood, GA 308121500
📞 7067902042fax 7067902476
Mailing address
100 Myrtle Blvd
Gracewood, GA 308121500
📞 7067902042fax 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.

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

TypeValueNotes
05 (GA) 00140709A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ECRH Skilled Nursing Home No 9
    Type code 3 recorded 2006-12-01

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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