NPIMap

Organization Active NPI

Empyrean Hospice of Georgia, LLC

  • Community Based Hospice Care Agency
  • Athens, GA
National Provider Identifier
1013608991
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EMPYREAN HOSPICE OF GEORGIA, LLC
Practice address
3722 Atlanta Hwy Ste 1
Athens, GA 30606-1862
Phone
(706) 229-6944
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Baheth
Title
Cao
Phone
(980) 920-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3722 Atlanta Hwy Ste 1
Athens, GA 30606-1862

Mailing address

647 Brawley School Rd Ste 104
Mooresville, NC 28117-6876

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Empyrean Hospice of Georgia, LLC-(Athens)CCN 851584
Certified
Oct 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2284832Empyrean Hospice of Georgia3722 Atlanta Highway, Suite 1, Athens, GA 30606Certificate of waiverJun 28, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711003045 GA Part A Provider - Hospice 2365801115 Practice locations: Athens, GA

Hospice certification: CCN 851584

Legal name
EMPYREAN HOSPICE OF GEORGIA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 12, 2023
Last certification
Jan 3, 2024
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
May 16, 2023 in DE
Enrollment address
3722 Atlanta Hwy
Ste 1
Athens, GA 30606-1862

All disclosed owners & managing parties 8

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jonathan a Lawrence Individual Contracted Managing EmployeeMD; May 16, 2026
Empyrean Partners, LLC Organization, Mooresville, NC LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2023 100%
Empyrean Hospice, LLC Organization, Mooresville, NC LLC 5% Or Greater Direct Ownership Interest Jun 1, 2023 100%
Stephanie Baheth Individual Corporate OfficerSecretary Dec 6, 2024 25%
Melissa Coleman Individual Corporate OfficerTreasurer Jun 1, 2023 25%
Empyrean Health Services, LLC Organization, Mooresville, NC LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2023 100%
Larry R Graham Individual 5% Or Greater Indirect Ownership InterestOwner Jun 1, 2023 100%
Corporate OfficerPresident & Ceo Jan 1, 2025 50%
Operational/Managerial ControlPresident & Ceo Dec 6, 2024 100%
Empyrean Healthcare Holdings, LLC Organization, Mooresville, NC LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2023 100%

National Provider Directory

National Provider Directory

Locations

3722 Atlanta Hwy
Athens, GA 30606

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1013608991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 BRAWLEY SCHOOL RD STE 104",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 ATLANTA HWY STE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061862",
            "telephone_number": "706-229-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPYREAN HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "BAHETH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "980-920-3611"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.