Peaceful Purpose Hospice of Georgia LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PEACEFUL PURPOSE HOSPICE OF GEORGIA LLC

Practice address

106A N Jefferson Ave
Eatonton, GA 31024-1020

Phone

(706) 991-5444

NPI assigned

Mar 13, 2018

Last updated

May 19, 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

Kimberly S Farley

Title

Administrator

Phone

(706) 991-5444

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 1295238517. Details of each certification follow.

• CCN 851505 Hospice · Active · Details

Hospice certification: CCN 851505

Legal name

PEACEFUL PURPOSE HOSPICE OF GEORGIA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 9, 2019

Last certification

Mar 23, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Enrollment address

106A N Jefferson Ave
Eatonton, GA 31024-1020

Listed as

Peaceful Purpose Hospice of Georgia, LLCCCN 851505 · All quality measures

Ownership

For-Profit

Certified

Apr 9, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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.

• Anil Kumar Puri, M.D.

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1629166335

  Hospice

  Care Compare affiliation
• Eddie Richardson, MD

  • Family Medicine Physician
  • Eatonton, GA
  • NPI 1235107772

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1295238517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106A N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241020",
            "telephone_number": "706-991-5444",
            "fax_number": "877-422-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106A N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241020",
            "telephone_number": "706-991-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106A N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310241020",
            "country_code": "US",
            "telephone_number": "706-991-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEFUL PURPOSE HOSPICE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-991-5444"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Eatonton, GA
• Providers in Eatonton, 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 May 19, 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.