Countryside Nursing LLC
Countryside Nursing LLC is a healthcare organization registered as Skilled Nursing Facility in Buchanan, GA, holding Type 2 (organization) NPI 1114365657 since 2013. The authorized official on file is Terry Tolson, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114365657 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Countryside Nursing LLC |
| Other name | <Unavail> |
| Practice address | 233 CARROLLTON ST, Buchanan, GA, 30113 |
| Phone | 7706463861 |
| Fax | 7706463601 |
| Enumeration date | 2013-06-06 |
| Last updated in NPPES | 2013-09-27 |
Authorized official
| Name | Terry Tolson |
|---|---|
| Title | Manager |
| Phone | 4046440471 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 1-071-2017 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000141666A | Medicaid | GA | — |
Copy-ready billing details
Provider: Countryside Nursing LLC NPI: 1114365657 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 233 CARROLLTON ST, Buchanan, GA, 30113
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902892276 | Buchanan Scc Inc | Organization | Skilled Nursing Facility | Buchanan, GA |
| 1427406842 | Cs Snf LLC | Organization | Skilled Nursing Facility | Buchanan, GA |
| 1982497970 | 233 Carrollton Opco LLC | Organization | Skilled Nursing Facility | Buchanan, GA |
Verify this record
Cross-check NPI 1114365657 against the authoritative CMS record: view Countryside Nursing LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Countryside Nursing LLC?
What is the NPI number for Countryside Nursing LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-27.