Peachtree Hospice of Georgia, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PEACHTREE HOSPICE OF GEORGIA, LLC

Practice address

1233 Eagles Landing Pkwy Ste a
Stockbridge, GA 30281-6399

Phone

(678) 583-2269

Fax

(678) 583-2270

NPI assigned

Jan 6, 2014

Last updated

Oct 23, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

AFFINITY HOSPICE HOLDINGSAs reported in NPPES

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

Authorized official

Name

Mr. Christopher Smith

Title

Ceo

Phone

(205) 949-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043632334. Details of each certification follow.

• CCN 111734 Hospice · Active · Details

Hospice certification: CCN 111734

Legal name

PEACHTREE HOSPICE OF GEORGIA LLC

Doing business as

AFFINITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 8, 2013

Last certification

Sep 10, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 16, 2010 in GA

Enrollment address

1233 Eagles Landing Pkwy
Ste a&B
Stockbridge, GA 30281-6399

Other NPIs with the same Medicare PAC ID 1

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

• Peachtree Hospice of Georgia, LLC

  dba BridgeWay Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stockbridge, GA
  • NPI 1255788436

  5496988156

  Same PAC ID

Listed as

Affinity HospiceCCN 111734 · All quality measures

Ownership

For-Profit

Certified

Feb 8, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Peachtree Hospice of Ga LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Peachtree Hospice of Georgia, LLC

  dba BridgeWay Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stockbridge, GA
  • NPI 1255788436
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Silverleaf Hospice, Inc.

  • Community Based Hospice Care Agency
  • Athens, GA
  • NPI 1396948790

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 2

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

• Lata Parvathaneni, MD

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1629396585

  Contracted Managing Employee

  CMS ownership
• Peachtree Hospice of Georgia, LLC

  dba BridgeWay Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stockbridge, GA
  • NPI 1255788436

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 11

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

• A/B Hospice, LLC

  dba Affinity Hospice

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1235654039

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Bridgeway Hospice Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equali

  CMS ownership
• Bethany Hospice and Palliative Care of Coastal Georgia, LLC

  dba Affinity Hospice

  • Community Based Hospice Care Agency
  • Claxton, GA
  • NPI 1548501000

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part

  CMS ownership
• Bethany Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Valdosta, GA
  • NPI 1972709160

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part

  CMS ownership
• North Star Hospice, LLC

  dba Affinity Hospice

  • Community Based Hospice Care Agency
  • Canton, GA
  • NPI 1497061709

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part

  CMS ownership
• SB Healthcare, LLC

  dba BridgeWay Hospice

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1003273095

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Bridgeway Hospice Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equali

  CMS ownership
• Silverleaf Hospice, Inc.

  • Community Based Hospice Care Agency
  • Athens, GA
  • NPI 1396948790

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Bridgeway Hospice Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equali

  CMS ownership
• Affinity Acquisitions, LLC

  dba Affinity Hospice

  • Community Based Hospice Care Agency
  • Birmingham, AL
  • NPI 1962893347

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR

  CMS ownership
• Affinity Hospice Arkansas, LLC

  dba Affinity Hospice

  • Community Based Hospice Care Agency
  • White Hall, AR
  • NPI 1932874757

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part

  CMS ownership
• Divine Hospice LLC

  • Community Based Hospice Care Agency
  • Greenville, SC
  • NPI 1700329455

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC

  CMS ownership
• Elite Home Care Solutions, LLC

  dba Elite Hospice

  • Community Based Hospice Care Agency
  • Bristol, VA
  • NPI 1922571561

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part

  CMS ownership
• Hands of Mercy Hospice LLC

  • Community Based Hospice Care Agency
  • Greenville, SC
  • NPI 1649521048

  Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR

  CMS ownership

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica Vante

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1831706217
  NPD
• Jennifer Alice Boateng

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1831817980
  NPD (past)
• Joann Melinda Brown, NP

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1760975619
  NPD (past)
• Howard Kelly Buffington, FNP-C

  • Family Nurse Practitioner
  • Rome, GA
  • NPI 1235725383
  NPD (past)
• Marla Kiser Buie, AGPCNP

  • Primary Care Nurse Practitioner
  • Suwanee, GA
  • NPI 1275049322
  NPD (past)
• Tracy Cain English, DNP, APRN, FNP-BC

  • Gerontology Nurse Practitioner
  • McDonough, GA
  • NPI 1720125834
  NPD (past)
• Sylvanus Kwame Fiakpornoo, MD

  • Internal Medicine Physician
  • Dallas, GA
  • NPI 1407056302
  NPD (past)
• Philip Garofano, FNP

  • Adult Health Nurse Practitioner
  • Marietta, GA
  • NPI 1851842652
  NPD (past)
• Annie Rose Howell-Freckleton, ANP

  • Nurse Practitioner
  • Tucker, GA
  • NPI 1679981211
  NPD (past)
• Maafia A Osei-Cheremeh, NP

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1013431766
  NPD (past)
• Amber K Rettig, FNP

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1598463630
  NPD (past)
• Andrea Elaine Ricketts, NP

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1275972978
  NPD (past)

Affiliated clinicians 1

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

• Lata Parvathaneni, MD

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1629396585

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1043632334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EAGLES LANDING PKWY STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816399",
            "telephone_number": "678-583-2269",
            "fax_number": "678-583-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HOSPICE HOLDINGS",
        "enumeration_date": "2014-01-06",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-949-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Baker Paulk, NP
• Vanessa Pavlik
• PD-Uwear, LLC
• Peaceful Insight Counseling LLC
• Peach Health Concierge
• Peachtree Hospice of Georgia, LLC (BridgeWay Palliative Care)
• Jache Peaks, LMSW
• Shannon Lynn Pearce, PHYSICIAN ASSISTANT
• Allyson Pearson
• Pediatric and Family Behavioral Health of Georgia

• Community Based Hospice Care Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.