Active NPI
GHHS Healthcare, LLC
Doing business as Georgia Home Health Services
- Home Health Agency
- Valdosta, GA
National Provider Identifier
1114174992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GHHS HEALTHCARE, LLC
- Doing business as
- Georgia Home Health Services
- Practice address
- 4380 Kings Way
Valdosta, GA 31602 - Phone
- (229) 247-4663
- NPI assigned
- Aug 22, 2008
- Last updated
- Jun 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James T Poteet Jr.
- Title
- President
- Phone
- (423) 667-4611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4380 Kings Way
Valdosta, GA 31602
Mailing address
3404 Greystone Way
Valdosta, GA 31605-1048
Phone (229) 247-4663
Other names 1
- Georgia Home Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120427000629 | GA | Part A Provider - Home Health Agency | 3173785649 | Practice locations: Tifton, GA; Valdosta, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114174992. Details of each certification follow.
Home health agency certification: CCN 117058
- Legal name
- GHHS HEALTHCARE, LLC
- Doing business as
- GEORGIA HOME HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 25, 1979
- Last certification
- Nov 8, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 4380 Kings Way
Valdosta, GA 31602-6921
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Georgia Home Health Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 25, 1979
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
111 S Davis St
Nashville, GA 31639
Phone (229) 686-5502
1444 Tift Ave N
Ste B
Tifton, GA 31794
Phone (229) 382-3210
4380 Kings Way
Valdosta, GA 31602
Phone (229) 244-2068
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Thomas Poteet | 5% Or Greater Indirect Ownership Interest | Jun 23, 2011 | 25% |
| Corporate Officer | Jun 23, 2011 | ||
| W-2 Managing Employee | Jun 23, 2011 | ||
| LJP Medical Investor Group LLC | 5% Or Greater Direct Ownership Interest | Jun 23, 2011 | 100% |
| Operational/Managerial Control | Jun 23, 2011 | ||
| Carden B Rice | 5% Or Greater Indirect Ownership Interest | Jun 23, 2011 | 7.5% |
| Caren Bennefield | W-2 Managing Employee | Mar 8, 2018 | |
| Operational/Managerial Control | Mar 8, 2018 | ||
| Kari Tucker Snow | W-2 Managing Employee | May 5, 2026 | |
| Charles E. Jabaley Family Trust | 5% Or Greater Indirect Ownership Interest | Nov 10, 2020 | 30% |
| Berrien Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jun 24, 2011 | 75% |
| William Burton | 5% Or Greater Indirect Ownership Interest | Jun 23, 2011 | 7.5% |
| Fred Lester | 5% Or Greater Indirect Ownership Interest | Jun 23, 2011 | 30% |
| Corporate Officer | Jun 23, 2011 | ||
| CBR Berrien Investments LLC | 5% Or Greater Indirect Ownership Interest | Jun 24, 2011 | 7.5% |
| L&J Associates LLC | 5% Or Greater Indirect Ownership Interest | Jun 24, 2011 | 60% |
Practitioners & affiliated clinicians
Affiliated clinicians 54
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Valdosta, GA
- NPI 1649432733
Home health agency
-
- Orthopaedic Surgery Physician
- Tifton, GA
- NPI 1982050639
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1114174992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 GREYSTONE WAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316051048",
"telephone_number": "229-247-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 KINGS WAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-247-4663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHHS HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-22",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "POTEET",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-667-4611",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgia Home Health Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Georgia Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.