Affinity Care of Georgia LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AFFINITY CARE OF GEORGIA LLC

Practice address

2751 Buford Hwy NE Ste 285
Atlanta, GA 30324-5488

Phone

(510) 499-9977

NPI assigned

Nov 21, 2022

Last updated

Jun 9, 2026By 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

Samuel Stern

Title

Ceo

Phone

(510) 499-9977

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154030856. Details of each certification follow.

• CCN 851587 Hospice · Active · Details

Hospice certification: CCN 851587

Legal name

AFFINITY CARE OF GEORGIA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 22, 2023

Last certification

Feb 21, 2024

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Nov 11, 2022 in GA

Enrollment address

2751 Buford Hwy NE
Ste 285
Atlanta, GA 30324-5488

Listed as

Affinity Care of Georgia, LLCCCN 851587 · All quality measures

Certified

Nov 22, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Lee Wilkes, MD

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1568441871

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Amit K Dua, M.D.

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1639131691

  Hospice

  Care Compare affiliation
• Anjali C Dua, M.D.

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1134182330

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1154030856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OPAL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 285",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245488",
            "telephone_number": "510-499-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-499-9977"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.

Verify at the official NPI Registry.