NPIMap

Organization Active NPI

Hospice Advantage Midco, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Auburn, AL
National Provider Identifier
1093238248
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE ADVANTAGE MIDCO, LLC
Practice address
665 Opelika Rd Ste 200
Auburn, AL 36830-4086
Phone
(334) 826-1899
Fax
(334) 826-0756
NPI assigned
Jul 19, 2017
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD21920 AL

Addresses

Primary practice location

665 Opelika Rd Ste 200
Auburn, AL 36830-4086

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171113003047 AL Part B Supplier - Clinic/Group Practice 6608020334 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Auburn, AL; Birmingham, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hospice Advantage Midco 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.

Member organizations 61

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

View all 61

Locations

665 Opelika Rd
Ste 200
Auburn, AL 36830
Phone (334) 826-1899

Ownership & related parties

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-Bay CitySaginaw, MI, CCN 231596 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus-LansingLansing, MI, CCN 231599 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus KennesawKennesaw, GA, CCN 111627 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus - MilwaukeeSheboygan, WI, CCN 521576 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - Cass CityCass City, MI, CCN 231605 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus-AthensAthens, GA, CCN 111651 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AtlantaDuluth, GA, CCN 111648 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus-FayettevilleFayetteville, GA, CCN 111649 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus-FlorenceFlorence, AL, CCN 011678 Hospice 5% Or Greater Indirect Ownership Interest (100%) Oct 7, 2015
Compassus- North Georgia IIEast Ellijay, GA, CCN 111682 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus TroyTroy, AL, CCN 011636 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - Northern MichiganWest Branch, MI, CCN 231600 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AuburnAuburn, AL, CCN 011528 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus MemphisSouthaven, MS, CCN 251656 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus-Mid-MississippiBrookhaven, MS, CCN 251637 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus- HattiesburgHattiesburg, MS, CCN 251625 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus-JacksonFlowood, MS, CCN 251586 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus-MemphisMemphis, TN, CCN 441579 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus ChicagoDekalb, IL, CCN 141623 Hospice 5% Or Greater Direct Ownership Interest Dec 14, 2012
Compassus-Green BayGreen Bay, WI, CCN 521595 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - IndianapolisMuncie, IN, CCN 151560 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - MuskogeeMuskogee, OK, CCN 371678 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Compassus- VinitaVinita, OK, CCN 371603 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus- OwassoTulsa, OK, CCN 371677 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2001
Compassus-CharlestonRidgeland, SC, CCN 421593 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AllentownAllentown, PA, CCN 391659 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012

Owned or controlled facilities with NPI records 28

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 28

Practitioners & affiliated clinicians

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1093238248",
    "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": "665 OPELIKA RD STE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304086",
            "telephone_number": "334-826-1899",
            "fax_number": "334-826-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE MIDCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "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": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "MD21920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.