NPIMap

Organization Active NPI

Amedisys Northwest, L.L.C.

Doing business as Amedisys Home Health of Griffin

  • Home Health Agency
  • Griffin, GA
National Provider Identifier
1336197003
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
126-278-H Issued in GA
Legal business name
AMEDISYS NORTHWEST, L.L.C.
Doing business as
Amedisys Home Health of Griffin
Practice address
244 Odell Rd
Unit 1
Griffin, GA 30224-4787
Phone
(770) 229-4962
Fax
(770) 412-8767
NPI assigned
May 5, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Joshua L. Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 126-278-H GA Primary

Addresses

Primary practice location

244 Odell Rd
Unit 1
Griffin, GA 30224-4787

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
00183961AMedicaidGA

Other names 1

  • Amedisys Home Health of Griffin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107001107 GA Part A Provider - Home Health Agency 5092702480 Practice locations: Griffin, GA; Thomaston, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336197003. Details of each certification follow.

Home health agency certification: CCN 117045

Legal name
AMEDISYS NORTHWEST, L.L.C.
Doing business as
AMEDISYS HOME HEALTH OF GRIFFIN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 15, 1978
Last certification
Apr 18, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
244 Odell Rd
Ste 1
Griffin, GA 30224-4878

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health of GriffinCCN 117045 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 15, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
11D0885476Amedisys Northwest LLC244 Odell Road, Unit 1, Griffin, GA 30224Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Northwest LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Riverstone Vis
Ste 213
Blue Ridge, GA 30513
Phone (706) 341-0092

147 Reinhardt College Pkwy
Ste 3
Canton, GA 30114
Phone (770) 345-3630

244 Odell Rd
Ste 1
Griffin, GA 30224
Phone (770) 229-4962

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2004 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Amanda Cochran Individual W-2 Managing EmployeeAdministrator Dec 1, 2023
Operational/Managerial ControlAdministrator Dec 1, 2023
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2004 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident & Ceo Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1336197003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ODELL RD",
            "address_2": "UNIT 1",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244787",
            "telephone_number": "770-229-4962",
            "fax_number": "770-412-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS NORTHWEST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "126-278-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00183961A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Griffin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.