NPIMap

Organization Active NPI

Piedmont Athens Regional Medical Center, Inc.

  • Home Health Agency
  • Athens, GA
National Provider Identifier
1053306191
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
029-233-H Issued in GA
Legal business name
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
Practice address
1550 Timothy Rd Ste 201B
Athens, GA 30606-7835
Phone
(833) 719-1991
Fax
(706) 475-5570
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Mrs. Sandra Epps, RN
Title
Director
Phone
(706) 316-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 029-233-H GA Primary

Addresses

Primary practice location

1550 Timothy Rd Ste 201B
Athens, GA 30606-7835

Mailing address

1550 Timothy Rd Ste 201B
Athens, GA 30606-7835
Phone (833) 719-1991

Other identifiers 1

IdentifierTypeStateIssuer
00814272AMedicaidGA

Other names 1

  • Piedmont Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000283 GA Part A Provider - Home Health Agency 6800784067 Practice locations: Athens, GA; Covington, GA

Home health agency certification: CCN 117125

Legal name
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
Doing business as
PIEDMONT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 1998
Last certification
May 7, 2015
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 1995 in GA
Enrollment address
1550 Timothy Rd
Ste 201B
Athens, GA 30606-7835
HHA Branch

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Piedmont Home HealthCCN 117125
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Dec 10, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
11D0948568Piedmont Home Health1550 Timothy Road, Suite 201 B, Athens, GA 30606Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Athens Regional Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1550 Timothy Rd
Ste 201B
Athens, GA 30606
Phone (833) 719-1991

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Thomas Arnold Individual W-2 Managing EmployeeAdmin Cfo Piedmont Healthcare Oct 1, 2016
Piedmont Healthcare Inc Organization, Atlanta, GA Corporation, Non-profit Operational/Managerial Control Oct 1, 2016 100%
Robert C Cross Individual W-2 Managing EmployeeVP Government Reimbursement Jan 1, 2012
Operational/Managerial ControlVP Government Reimbursement Oct 1, 2016
Justin Webb Roberts Individual W-2 Managing EmployeeCfo Dec 1, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1053306191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TIMOTHY RD STE 201B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067835",
            "telephone_number": "833-719-1991",
            "fax_number": "706-475-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TIMOTHY RD STE 201B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067835",
            "telephone_number": "833-719-1991",
            "fax_number": "706-475-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-316-2611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "029-233-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00814272A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Piedmont Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.