NPIMap

Organization Active NPI

Amedisys Georgia LLC

  • Home Health Agency
  • Winder, GA
National Provider Identifier
1043437346
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
044-252 Issued in GA
Legal business name
AMEDISYS GEORGIA LLC
Practice address
30 Piedmont Dr
Winder, GA 30680-8117
Phone
(770) 868-0078
Fax
(866) 268-3691
NPI assigned
Apr 19, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Paul B Kusserow
Title
President
Phone
(225) 292-2031

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Georgia LLC (61 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 044-252 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

30 Piedmont Dr
Winder, GA 30680-8117

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00832444BMedicaidGA

Other names 1

NPPES NPI Registry
  • Central Home Health care an Amedisys Company Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2017.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1043437346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PIEDMONT DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808117",
            "telephone_number": "770-868-0078",
            "fax_number": "866-268-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832444B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Home Health care an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.