GOLDEN AGE CLINIC
NPI 1558693671
Clinic/Center - Rural Health in Greenwood, MS

Q: What is Golden Age Inc's NPI number?

The NPI number for Golden Age Inc is 1558693671. It was assigned to this organization in the NPPES registry on February 1, 2010. The provider is doing business as Golden Age Clinic.

Q: What is Golden Age Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Q: What quality rating does Golden Age Inc have?

CMS rates Golden Age Nursing Home 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Q: When was this NPI record last updated?

The NPPES record for Golden Age Inc was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 01, 2010CLIA Certified · 2 labs

3/5

Overall Rating

2901 HIGHWAY 82 E, GREENWOOD, MS 38930(662) 374-2185(662) 374-2195 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Golden Age Clinic NPPES

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

GOLDEN AGE CLINIC (NPI 1558693671) is a healthcare organization registered as a rural health in Greenwood, Mississippi and active in the NPI registry since February 2010. The organization holds 2 active CLIA laboratory certificates and lists Tabatha Danielle Watkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1558693671

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameGOLDEN AGE INC

Location Address2901 HIGHWAY 82 EGreenwood, MS 38930-2960

Mailing Address2901 Highway 82 EastGreenwood, MS 38930-2960 · (662) 374-2185 · Fax (662) 374-2195

Phone(662) 374-2185

Fax(662) 374-2195

Organization SubpartNo

Authorized OfficialTabatha Danielle WatkinsAdministrator · (662) 453-6323

Enumeration DateFebruary 1, 2010

Last NPPES UpdateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1558693671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

2901 HIGHWAY 82 E, Greenwood, MS 38930

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Other Names 1

Doing Business AsGolden Age Clinic

Other Identifiers 1

Medicaid09705072MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 25D2003324

Golden Age Clinic · Greenwood, MS

Active · expires Feb 4, 2028

CLIA Number25D2003324

Laboratory TypeRural Health Clinic

Certificate Effective DateFebruary 5, 2026

Certificate Expiration DateFebruary 4, 2028

Laboratory DirectorWilliam B. Harper

Laboratory Phone(662) 374-2185

Laboratory LocationGolden Age Clinic2901 Highway 82 East, Greenwood, MS 38930

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D0671329

Golden Age Inc · Greenwood, MS

Active · expires Aug 31, 2026

CLIA Number25D0671329

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJohn P. Hey

Laboratory Phone(662) 453-6323

Laboratory LocationGolden Age Inc2901 Hwy 82 East, Greenwood, MS 38930

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Golden Age Nursing Home (CMS certification number 255307), from CMS Care Compare.

Golden Age Nursing Home

Nursing home · Greenwood, MS

3/5 CMS Overall Rating

OwnershipNon profit - Corporation

CMS Certification Number255307

Certified Beds95 beds72 residents per day on average

Medicare & Medicaid Participant SinceJuly 1, 2004

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

24.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.96 · LPN 1.3 · RN 0.58

4.83 hrs per resident per day

Weekend Nurse Staffing

4.08 hrs per resident per day

Physical Therapist Staffing

0 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

21.4%

Registered Nurse Turnover

63.6%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $657.80

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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Other Providers at the Same Location NPPES 5

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

MRS. BRANDY G SMITH FNP-BC

Nurse Practitioner (Family)