OrganizationActive
Countryside Nursing LLC
NPI 1114365657 · Skilled Nursing Facility · Buchanan, GA
Provider details
- NPI number
- 1114365657
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Tolson, Manager(404) 644-0471
- License
- 1-071-2017 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
233 Carrollton St
Buchanan, GA 30113-4917
Phone: (770) 646-3861
Fax: (770) 646-3601
Street-level locationGet directions
Mailing address
233 Carrollton St
Buchanan, GA 30113-4917
Other names (DBA / former)
- Doing business as
- Countryside Health Center
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.