SENIOR CARE CENTER - ST. MARYS
NPI 1720169147
Skilled Nursing Facility in Saint Marys, GA

Active since October 19, 2006CLIA 11D0646129 · Waiver
805 DILWORTH ST, SAINT MARYS, GA 31558(912) 882-4281(912) 882-9502 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2022, Nov 10, 2015 (2 updates tracked since 2015).

About Senior Care Center - St. Marys NPPES

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

SENIOR CARE CENTER - ST. MARYS (NPI 1720169147) is a healthcare organization registered as a skilled nursing facility in Saint Marys, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Scott Raynes, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1720169147
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHEAST GEORGIA HEALTH SYSTEM, INC.
Location Address805 DILWORTH STSaint Marys, GA 31558-8673
Mailing Address2415 Parkwood DrBrunswick, GA 31520-4722 · (912) 466-7000 · Fax (912) 466-7026
Fax(912) 882-9502
Organization SubpartNo
Authorized OfficialScott RaynesPresident & Ceo · (912) 466-7049
Enumeration DateOctober 19, 2006
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
NPI 1720169147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
805 DILWORTH ST, Saint Marys, GA 31558

Other Names 1

Doing Business AsSenior Care Center - St. Marys

Other Identifiers 1

Medicaid00143129AGA

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 11D0646129

Southeast Georgia Health System, Inc D/B/A Senior Care Center-St Marys · Saint Marys, GA
Active · expires Aug 31, 2026
CLIA Number11D0646129
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSharon D. Cook
Laboratory Phone(912) 882-4281
Laboratory LocationSoutheast Georgia Health System, Inc D/B/A Senior Care Center-St Marys805 Dilworth St, Saint Marys, GA 31558
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
805 DILWORTH ST
SAINT MARYS, GA 31558
Physical Therapy Assistant
805 DILWORTH ST
SAINT MARYS, GA 31558

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 Southeast Georgia Health System, Inc.'s NPI number?

The NPI number for Southeast Georgia Health System, Inc. is 1720169147. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Senior Care Center - St. Marys.

Where is Southeast Georgia Health System, Inc. located?

Southeast Georgia Health System, Inc. is located at 805 Dilworth St, Saint Marys, GA 31558. The listed phone number is (912) 882-4281.

What is Southeast Georgia Health System, Inc.'s specialty?

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

Does Southeast Georgia Health System, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0646129) is associated with this NPI, valid through August 31, 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 Southeast Georgia Health System, Inc. was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.