Thomaston Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

145-172-H Issued in GA

Legal business name

THOMASTON HOSPICE, INC.

Practice address

310 N Church St Ste D
Thomaston, GA 30286-6301

Phone

(706) 647-2273

Fax

(706) 646-3858

NPI assigned

Oct 12, 2006

Last updated

Jan 30, 2008By 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

Mr. Albert A Hinson

Title

Business Manager

Phone

(706) 647-2273

Specialties & licenses 1

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 1265521769. Details of each certification follow.

• CCN 111596 Hospice · Active · Details

Hospice certification: CCN 111596

Legal name

THOMASTON HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 9, 2001

Last certification

May 22, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 4, 2001 in GA

Enrollment address

512 South Center St
Thomaston, GA 30286

Listed as

Thomaston Hospice, IncCCN 111596 · All quality measures

Ownership

For-Profit

Certified

Nov 9, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

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

• Jonathan Frank Busbee, M.D.

  • Internal Medicine Physician
  • Thomaston, GA
  • NPI 1346212792

  Hospice

  Care Compare affiliation
• Charles Wayne Dodgen, M.D.

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1104846625

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1265521769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N CHURCH ST STE D",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302866301",
            "telephone_number": "706-647-2273",
            "fax_number": "706-646-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N CHURCH ST STE D",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302866301",
            "telephone_number": "706-647-2273",
            "fax_number": "706-646-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASTON HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-647-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "145-172-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hemlock Pain Center, LLC
• The Optical Shop of Thomaston LLC
• Thomas M. Kretzmer
• Thomaston Ear, Nose and Throat Inc.
• Thomaston Family Practice LLC
• Thomaston Internal Medicine,L.L.C.
• Thomaston Medical Clinic, PC
• Thomaston Obstetrical & Gynecological Associates, P.C. (Thomaston OB-GYN Associates, P. C.)
• Thomaston Pediatrics PC
• Thomaston Upson County Board of Education

• Community Based Hospice Care Agency in Thomaston, GA
• Providers in Thomaston, 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 Jan 30, 2008; 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.