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Ft Gaines Healthcare LLC

Skilled Nursing Facility in Fort Gaines, GA · enumerated 2005 · authorized official Tygh Brogdon, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124021506

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Registry record

Entity type Organization (Type 2)
Legal business name Ft Gaines Healthcare LLC
Other name <Unavail>
Practice address 101 Hartford Rd, Fort Gaines, GA, 39851
Fax (229) 768-2466
Enumeration date May 31, 2005
Last updated in NPPES Sep 29, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Tygh Brogdon
Title Manager

Other identifiers

Identifier Type State Issuer
00140599A Medicaid GA -

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.

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Frequently asked questions

Where is Ft Gaines Healthcare LLC located?
The practice location on file with NPPES is in Fort Gaines, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-09-29. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-29.