NPIMap

Organization Active NPI

Amedisys North Carolina, LLC

  • Home Health Agency
  • Thomasville, NC
National Provider Identifier
1124076872
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0495 Issued in NC
Legal business name
AMEDISYS NORTH CAROLINA, LLC
Practice address
1630 Liberty Dr Ste 100
Thomasville, NC 27360-5365
Phone
(336) 472-4449
Fax
(336) 475-4449
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Joshua Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0495 NC Primary

Addresses

Primary practice location

1630 Liberty Dr Ste 100
Thomasville, NC 27360-5365

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other practice location 1

610 N Fayetteville St Ste 112
Asheboro, NC 27203-4671
Phone (336) 313-2757

Other identifiers 2

IdentifierTypeStateIssuer
1124076872MedicaidNC
3417094MedicaidNC

Other names 1

  • Amedisys Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000695 NC Part A Provider - Home Health Agency 1951354240 Practice locations: Asheboro, NC; Thomasville, NC

Home health agency certification: CCN 347094

Legal name
AMEDISYS NORTH CAROLINA, L.L.C.
Doing business as
AMEDISYS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 1, 1978
Last certification
Jun 20, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 31, 2001 in NC
Enrollment address
1630 Liberty Dr
Ste 100
Thomasville, NC 27360-5365

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health CareCCN 347094
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 1, 1978
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
34D0655072Amedisys Home Health Care1630 Liberty Drive Suite 100, Thomasville, NC 27360Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

120 Providence Rd
Ste 200
Chapel Hill, NC 27514
Phone (919) 408-0984

369 Hwy 13 S
#C
Snow Hill, NC 28580
Phone (252) 747-8141

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.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Staci Roth Individual W-2 Managing EmployeeAdministrator Apr 1, 2017 100%
Operational/Managerial ControlAdministrator Apr 1, 2017 100%
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual Operational/Managerial ControlSr Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 20, 2015 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2009
Joshua Lee Proffitt Individual Corporate Officer Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1124076872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 LIBERTY DR STE 100",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605365",
            "telephone_number": "336-472-4449",
            "fax_number": "336-475-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Fayetteville St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272034671",
            "country_code": "US",
            "telephone_number": "336-313-2757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMEDISYS NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124076872",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3417094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.