JESUP HEALTHCARE
NPI 1679514434
Skilled Nursing Facility in Jesup, GA
About Jesup Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESUP HEALTHCARE (NPI 1679514434) is a healthcare organization registered as a skilled nursing facility in Jesup, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Tygh Angwin Brogdon, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 11D0709639
Jesup Healthcare · Jesup, GAOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesup Healthcare LLC's NPI number?
The NPI number for Jesup Healthcare LLC is 1679514434. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Jesup Healthcare.
Where is Jesup Healthcare LLC located?
Jesup Healthcare LLC is located at 3100 Savannah Hwy, Jesup, GA 31545. The listed phone number is (912) 427-6873.
What is Jesup Healthcare LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Jesup Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0709639) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jesup Healthcare LLC was last updated on September 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.