SOUTHERN TRADITIONS
NPI 1609070853
Skilled Nursing Facility in Buchanan, GA

Active since June 12, 2007
144 DEPOT ST, BUCHANAN, GA 30113(770) 646-5512(770) 646-5591 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Traditions NPPES

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

SOUTHERN TRADITIONS (NPI 1609070853) is a healthcare organization registered as a skilled nursing facility in Buchanan, Georgia and active in the NPI registry since June 2007. The organization lists R. Mark Cronquist, Manager, as its authorized official.

NPPES Registry Identity

NPI1609070853
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOVEREIGN HEALTHCARE OF BUCHANAN, LLC
Location Address144 DEPOT STBuchanan, GA 30113-5216
Mailing Address5887 Glenridge Dr Ne, Suite 150Atlanta, GA 30328-5574 · (404) 574-2100 · Fax (404) 574-2105
Fax(770) 646-5591
Organization SubpartNo
Authorized OfficialR. Mark CronquistManager · (404) 574-2100
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 24, 2014
NPI 1609070853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Licenses Licensed in GA · 1-071-1897 Licensed in GA · 1-071-1896
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.
144 DEPOT ST, Buchanan, GA 30113

Other Names 1

Doing Business AsSouthern Traditions

Other Identifiers 2

Medicaid000142722AGA
Medicare OSCAR/certification115587GA

Other Providers at the Same Location NPPES 4

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

Physical Therapy Assistant
144 DEPOT ST
BUCHANAN, GA 30113
Skilled Nursing Facility
144 DEPOT ST
BUCHANAN, GA 30113
Skilled Nursing Facility
144 DEPOT ST
BUCHANAN, GA 30113
Skilled Nursing Facility
144 DEPOT 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 Sovereign Healthcare Of Buchanan, LLC's NPI number?

The NPI number for Sovereign Healthcare Of Buchanan, LLC is 1609070853. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Southern Traditions.

Where is Sovereign Healthcare Of Buchanan, LLC located?

Sovereign Healthcare Of Buchanan, LLC is located at 144 Depot St, Buchanan, GA 30113. The listed phone number is (770) 646-5512.

What is Sovereign Healthcare Of Buchanan, 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 Sovereign Healthcare Of Buchanan, LLC was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.