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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.

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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?
NPPES lists Terry Tolson (Manager) as the authorized official for this organization.
What is the NPI number for Countryside Nursing LLC?
The NPI for Countryside Nursing LLC is 1114365657, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-27.