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PINEWOOD RETIREMENT VILLA, INC.
NPI 1477650752
Assisted Living Facility in Hawkinsville, GA

Active since September 20, 2006CLIA 11D0970600 · Waiver
2 SLAPPEY DR, HAWKINSVILLE, GA 31036(478) 783-1623(478) 783-3432 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pinewood Retirement Villa, Inc. NPPES

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

PINEWOOD RETIREMENT VILLA, INC. (NPI 1477650752) is a healthcare organization registered as an assisted living facility in Hawkinsville, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Ronald Gary Crump, President, as its authorized official.

NPPES Registry Identity

NPI1477650752
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePINEWOOD RETIREMENT VILLA, INC.
Location Address2 SLAPPEY DRHawkinsville, GA 31036-1459
Mailing Address2 Slappey DrHawkinsville, GA 31036-1459 · (478) 783-1623 · Fax (478) 783-3432
Phone(478) 783-1623
Fax(478) 783-3432
Organization SubpartNo
Authorized OfficialRonald Gary CrumpPresident · (478) 783-1623
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477650752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A 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.
2 SLAPPEY DR, Hawkinsville, GA 31036
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Other Identifiers 1

Medicaid00594305AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0970600

Pinewood Retirement Villa Pch · Hawkinsville, GA
Active · expires Feb 17, 2028
CLIA Number11D0970600
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorRonny G. Crump
Laboratory Phone(912) 783-9171
Laboratory LocationPinewood Retirement Villa Pch2 Slappey Dr, Hawkinsville, GA 31036
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Pinewood Retirement Villa, Inc.'s NPI number?

The NPI number for Pinewood Retirement Villa, Inc. is 1477650752. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Pinewood Retirement Villa, Inc. located?

Pinewood Retirement Villa, Inc. is located at 2 Slappey Dr, Hawkinsville, GA 31036. The listed phone number is (478) 783-1623.

What is Pinewood Retirement Villa, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Pinewood Retirement Villa, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0970600) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinewood Retirement Villa, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.