Active NPI
Georgia Mountains Hospice, Inc
- Community Based Hospice Care Agency
- Jasper, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 251G00000X
- Legal business name
- GEORGIA MOUNTAINS HOSPICE, INC
- Practice address
- 70 Caring Way
Jasper, GA 30143-1960 - Phone
- (706) 253-4100
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marie Lindsey
- Title
- Administrator
- Phone
- (706) 253-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 251G00000X | GA | Primary |
Addresses
Primary practice location
70 Caring Way
Jasper, GA 30143-1960
Mailing address
70 Caring Way
Jasper, GA 30143-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00575693A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
Hospice certification: CCN 111532
- Legal name
- GEORGIA MOUNTAINS HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 17, 1993
- Last certification
- Jan 27, 2022
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Jun 16, 1993 in GA
- Enrollment address
- 70 Caring Way
Jasper, GA 30143-1960
Care Compare: Hospice
Medicare Care Compare- Listed as
- Georgia Mountain Hospice, Inc.
- Ownership
- Non-Profit
- Certified
- Sep 17, 1993
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0877538 | Georgia Mountains Hospice Inc | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
70 Caring Way
Jasper, GA 30143
Phone (706) 253-4100
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary a Bramlett | Corporate Officer | Jun 4, 2010 | |
| W-2 Managing Employee | Jun 4, 2010 | ||
| Gina Pendley | Corporate Officer | Jul 30, 2012 | |
| Corporate Director | Jul 30, 2012 | ||
| W-2 Managing Employee | Jul 30, 2012 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1083600605
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1295767291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 CARING WAY",
"city": "JASPER",
"state": "GA",
"postal_code": "301431960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 CARING WAY",
"city": "JASPER",
"state": "GA",
"postal_code": "301431960",
"telephone_number": "706-253-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA MOUNTAINS HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "LINDSEY",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-253-4100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "GA",
"license": "251G00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00575693A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.