Atlanta Hospice,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ATLANTA HOSPICE,LLC

Practice address

5750 Brook Hollow Pkwy Ste 103
Norcross, GA 30071-3515

Phone

(770) 903-4662

Fax

(770) 903-4663

NPI assigned

Nov 6, 2021

Last updated

Jan 28, 2025By 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

Ms. Georgia McKnight Morris, OWNER

Title

Ed

Phone

(470) 671-0208

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295490035. Details of each certification follow.

• CCN 851594 Hospice · Active · Details

Hospice certification: CCN 851594

Legal name

ATLANTA HOSPICE,LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 3, 2024

Last certification

Jan 3, 2024

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Enrollment address

2302 Parklake Dr NE
Ste 534
Atlanta, GA 30345-2989

Listed as

Atlanta Hospice LLCCCN 851594 · All quality measures

Certified

Jan 3, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Interoperability endpoints

• Direct secure messaging: info@atlhospice.com

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.

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1295490035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BROOK HOLLOW PKWY STE 103",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713515",
            "telephone_number": "770-903-4662",
            "fax_number": "770-903-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BROOK HOLLOW PKWY STE 103",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713515",
            "telephone_number": "770-903-4662",
            "fax_number": "770-903-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HOSPICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "MCKNIGHT",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "470-671-0208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@atlhospice.com",
            "affiliation": "N",
            "endpointDescription": "Info@atlhospice.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4107 Stutz Ct",
            "city": "Tucker",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300847540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@atlhospice.com",
            "affiliation": "N",
            "endpointDescription": "Info@atlhospice.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4107 Stutz Ct",
            "city": "Tucker",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300847540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.