NPIMap

Organization Active NPI

Amedisys Georgia, L.L.C.

Doing business as Amedisys Home Health

  • Home Health Agency
  • Tifton, GA
National Provider Identifier
1356524359
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
137-111 Issued in GA
Legal business name
AMEDISYS GEORGIA, L.L.C.
Doing business as
Amedisys Home Health
Practice address
72 Kent Rd
Ste 3
Tifton, GA 31794-1695
Phone
(229) 386-0665
Fax
(229) 386-5384
NPI assigned
Dec 12, 2007
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 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 & Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 137-111 GA Primary

Addresses

Primary practice location

72 Kent Rd
Ste 3
Tifton, GA 31794-1695

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
000336872AMedicaidGA
000826009KMedicaidGA
000336861I (CCSP)MedicaidGA

Other names 1

  • Amedisys Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000247 GA Part A Provider - Home Health Agency 2264342823 Practice locations: Moultrie, GA; Tifton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356524359. Details of each certification follow.

Home health agency certification: CCN 117077

Legal name
AMEDISYS GEORGIA, L.L.C.
Doing business as
AMEDISYS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 1, 1983
Last certification
May 23, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 1, 2002 in GA
Enrollment address
72 Kent Road
Suite 3
Tifton, GA 31794-1694

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home HealthCCN 117077 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 1, 1983
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
11D0700800Amedisys Georgia, LLC72 Kent Road, Suite 3, Tifton, GA 31794Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Georgia LLC61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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-LHC Group Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax 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 Feb 20, 2015 100%
Joni Babineaux Individual Corporate OfficerCfo-LHC Group Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Joanna W Graves Individual W-2 Managing EmployeeAdministrator Aug 9, 2018 100%
Operational/Managerial ControlAdministrator Aug 9, 2018 100%
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 Jan 1, 2011 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health of MaconMacon, GA, CCN 117093 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012
Central Home Health Care, an Amedisys CompanyTucker, GA, CCN 117026 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 1998
Dec 1, 1998
Amedisys Home Health of ValdostaValdosta, GA, CCN 117114 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1356524359",
    "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": "72 KENT RD",
            "address_2": "STE 3",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941695",
            "telephone_number": "229-386-0665",
            "fax_number": "229-386-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "137-111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336872A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826009K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336861I (CCSP)",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.