NPI age
19 years
Enumerated 2006-06-10
● Active Type 2 · Organization
Jesup Healthcare Llc
Jesup Healthcare Llc is 1 of 794 skilled nursing facility organizations in Georgia.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brogdon
Manager
Last NPPES update
2008-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 794 active skilled nursing facility providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3100 Savannah Hwy
Jesup, GA 315455514
Mailing address
3100 Savannah Hwy
Jesup, GA 315455514
Authorized official
Tygh Angwin Brogdon
Manager
📞 7706508773
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Erin Dye Occupational Therapist NPI 1770269144
- Matthew Orzelek, PT, DPT Physical Therapist NPI 1740913417
- Ashley Pineda, OT Occupational Therapist NPI 1295357200
- Victoria Ruvolo, PT, DPT Physical Therapist NPI 1760263768
- Shatavia White Physical Therapy Assistant NPI 1457102717
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000142689A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Jesup HealthCare
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- 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.