COUNTRYSIDE HEALTH CENTER
NPI 1114365657
Skilled Nursing Facility in Buchanan, GA

Active since June 06, 2013
233 CARROLLTON ST, BUCHANAN, GA 30113(770) 646-3861(770) 646-3601 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countryside Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE HEALTH CENTER (NPI 1114365657) is a healthcare organization registered as a skilled nursing facility in Buchanan, Georgia and active in the NPI registry since June 2013. The organization lists Terry Tolson, Manager, as its authorized official.

NPPES Registry Identity

NPI1114365657
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRYSIDE NURSING LLC
Location Address233 CARROLLTON STBuchanan, GA 30113-4917
Mailing Address233 Carrollton StBuchanan, GA 30113-4917 · (770) 646-3861 · Fax (770) 646-3601
Fax(770) 646-3601
Organization SubpartNo
Authorized OfficialTerry TolsonManager · (404) 644-0471
Enumeration DateJune 6, 2013
Last NPPES UpdateSeptember 27, 2013
NPI 1114365657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in GA · 1-071-2017
Definition
(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.
233 CARROLLTON ST, Buchanan, GA 30113

Other Names 1

Doing Business AsCountryside Health Center

Other Identifiers 2

Medicaid000141666AGA
Medicare OSCAR/certification115592

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
233 CARROLLTON ST
BUCHANAN, GA 30113
Skilled Nursing Facility
233 CARROLLTON ST
BUCHANAN, GA 30113
Skilled Nursing Facility
233 CARROLLTON ST
BUCHANAN, GA 30113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Nursing LLC's NPI number?

The NPI number for Countryside Nursing LLC is 1114365657. It was assigned to this organization in the NPPES registry on June 6, 2013. The provider is doing business as Countryside Health Center.

Where is Countryside Nursing LLC located?

Countryside Nursing LLC is located at 233 Carrollton St, Buchanan, GA 30113. The listed phone number is (770) 646-3861.

What is Countryside Nursing LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Countryside Nursing LLC was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.