NPI age
5 years
Enumerated 2021-04-14
● Active Type 2 · Organization
Southern Pines Retirement Villa
Southern Pines Retirement Villa is 1 of 519 assisted living facility organizations in Georgia.
Primary specialty
Assisted Living Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Richardson
Owner
Last NPPES update
2022-04-08
Source: monthly bulk 2026-05
How this organization compares
Across 519 active assisted living facility providers in Georgia.
NPI age
5 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
345 Perry Hwy.
Hawkinsville, GA 31036
Mailing address
345 Perry Hwy.
Hawkinsville, GA 31036
Authorized official
Sandra Richardson
Owner
📞 4782793286
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
-
Custodial Care FacilityA facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 116-01-001-1 | PERSONAL CARE HOME PERM. |
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →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.