Organization Active NPI

Community Health Concepts - Dodge, LLC

Doing business as Georgia Hospice Care

  • Community Based Hospice Care Agency
  • Albany, GA
National Provider Identifier
1326414368
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMUNITY HEALTH CONCEPTS - DODGE, LLC
Doing business as
Georgia Hospice Care
Practice address
2425 Westgate Dr Ste 100
Albany, GA 31707-2287
Phone
(800) 932-2738
NPI assigned
Aug 13, 2015
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela Duncan Owens
Title
Chief Compliance Officer
Phone
(800) 932-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

2425 Westgate Dr Ste 100
Albany, GA 31707-2287

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other practice location 1

2941 N Ashley St Ste D
Valdosta, GA 31602-5946
Phone (800) 932-2738

Other practice location 2

303 E Shotwell St
Bainbridge, GA 39819-3979
Phone (800) 932-2738

Other identifiers 2

IdentifierTypeStateIssuer
003181972AMedicaidGA
047-0419HOtherGAGA DEPT OF COMMUNITY HEALTH

Other names 1

  • Georgia Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150912000308 GA Part A Provider - Hospice 7911214614 Practice locations: Albany, GA; Bainbridge, GA; Valdosta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326414368. Details of each certification follow.

Hospice certification: CCN 111773

Legal name
COMMUNITY HEALTH CONCEPTS - DODGE, LLC
Doing business as
GEORGIA HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 1, 2016
Last certification
Sep 1, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 4, 2012 in GA
Enrollment address
2425 Westgate Dr
Ste 100
Albany, GA 31707-2287

Care Compare: Hospice

Medicare Care Compare
Listed as
Georgia Hospice CareCCN 111773 · All quality measures
Ownership
For-Profit
Certified
Feb 1, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2119546Community Health Concepts-Dodge, LLC2425 Westgate Drive, Suite 100, Albany, GA 31707Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1216 Dawson Rd
Ste 113
Albany, GA 31707
Phone (229) 349-6390

2425 Westgate Dr
Ste 100
Albany, GA 31707
Phone (229) 349-6390

2425 Westgate Dr
Ste 121
Albany, GA 31707
Phone (229) 349-6390

611 N Jefferson St
Albany, GA 31701

303 E Shotwell St
Bainbridge, GA 39819
Phone (229) 442-9162

2941 N Ashley St
Ste D
Valdosta, GA 31602
Phone (229) 253-8500

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Jordan Crumley Individual W-2 Managing Employee Oct 15, 2021
Joseph Walker Individual Contracted Managing EmployeeMedical Director Feb 1, 2022
Linden Capital Partners V-a LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 16.31%
Acg Intermediate, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rep Coinvest III Agp Blocker, Inc Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.41%
Troy Yarborough Individual Corporate OfficerCeo Oct 15, 2021
Hayley Eby Individual W-2 Managing Employee Feb 1, 2023
CDPQ Fonds 780, S.E.C Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 20.53%
Acg Parent Holdings, LP Organization, Wilmington, DE 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Arrow Management Holdings LLC Organization, Charlotte, NC LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Linden Investments III LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 14.33%
Rep Agp II Holdco, LP Organization, Charlotte, NC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.23%
Janelle I Plows Individual W-2 Managing Employee Oct 15, 2021
Marsha Hayes Individual W-2 Managing Employee Oct 15, 2021
Acg Intermediary LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Samantha Turk Individual W-2 Managing EmployeeAd; Aug 26, 2025
TVG HCSC Blocker, LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 15.61%
Pamela a Duncan Owens Individual Corporate OfficerCco Oct 15, 2021
Rep Agp III Blocker, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 9.82%
Linden Capital Partners V LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 10.39%
Acg Buyer, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rhonda Hamilton Individual Corporate OfficerChief Accounting Officer Mar 1, 2025
Acg Acquisition LLC Organization, Spartanburg, SC LLC 5% Or Greater Direct Ownership Interest Jul 25, 2025 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners & affiliated clinicians

Affiliated clinicians 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1326414368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 WESTGATE DR STE 100",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072287",
            "telephone_number": "800-932-2738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2941 N Ashley St Ste D",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025946",
            "country_code": "US",
            "telephone_number": "800-932-2738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 E Shotwell St",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398193979",
            "country_code": "US",
            "telephone_number": "800-932-2738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CONCEPTS - DODGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "DUNCAN OWENS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "800-932-2738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003181972A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA DEPT OF COMMUNITY HEALTH",
            "identifier": "047-0419H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.