Compassus Op of Georgia II LLC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

COMPASSUS OP OF GEORGIA II LLC

Doing business as

Compassus Hospice and Palliative Care - Macon

Practice address

1000 Northside Xing
Macon, GA 31210-2278

Phone

(770) 218-1997

Fax

(770) 218-1075

NPI assigned

Feb 15, 2019

Last updated

Mar 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Adkins

Title

SVP General Counsel

Phone

(615) 309-5668

Specialties & licenses 3

Addresses

Other names 1

• Compassus Hospice and Palliative Care - Macon Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Compassus Op of Georgia II LLC

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1376093534

  8123303344

  Same PAC ID

Tax ID family

Compassus Hospice and Palliative Care - Macon2 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.

• Compassus Op of Georgia II LLC

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1376093534
  NPD tax ID

Locations

Practitioners 5

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.

• Amanda Miller, FNP

  • Nurse Practitioner
  • Kathleen, GA
  • NPI 1659185288
  Medicare reassignment Care Compare group NPD
• Melissa Kirkland Payne, NP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
  • NPI 1518162007
  Medicare reassignment Care Compare group NPD
• Shae Horsting Stephens, FNP

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1417412032
  Medicare reassignment Care Compare group NPD
• Charlotte Elizabeth Grayson- Mathis, M.D.

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1497779391
  Medicare reassignment NPD
• Clyde O. Green, MD

  • Family Medicine Physician
  • Macon, GA
  • NPI 1417178187

  Hospice and Palliative Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1053877993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHSIDE XING",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102278",
            "telephone_number": "770-218-1997",
            "fax_number": "770-218-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS OP OF GEORGIA II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus Hospice and Palliative Care - Macon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compassionate Care Hospice of Central Georgia, LLC (Amedisys Hospice)
• Compassionate Care Personal Care Home
• Compassionate Hearts Case Management, LLC
• Compassus Op of Georgia II LLC
• David Compere, LCSW, MAC
• Complete Care & Pain Management Institute,LLC
• Tomas Concepcion, MD
• Concerned Care for Women

• Hospice and Palliative Medicine (Family Medicine) Physician in Macon, GA
• Providers in Macon, GA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.