NPIMap

Organization Active NPI

Amedisys Georgia, L.L.C.

Doing business as Amedisys Home Health

  • Home Health Agency
  • Vidalia, GA
National Provider Identifier
1366627986
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
138-112 Issued in GA
Legal business name
AMEDISYS GEORGIA, L.L.C.
Doing business as
Amedisys Home Health
Practice address
201 Maple Dr
Vidalia, GA 30474-8906
Phone
(912) 537-9004
Fax
(912) 537-8586
NPI assigned
Jan 2, 2008
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 138-112 GA Primary

Addresses

Primary practice location

201 Maple Dr
Vidalia, GA 30474-8906

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
000336894AMedicaidGA
000336894HMedicaidGA
000336894G (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
O20080625000639 GA Part A Provider - Home Health Agency 2264342823 Practice locations: Dublin, GA; Vidalia, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366627986. Details of each certification follow.

Home health agency certification: CCN 117075

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
Apr 11, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 1, 2002 in GA
Enrollment address
201 Maple Drive
Vidalia, GA 30474-8906

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 117075 · 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
11D0700797Amedisys Ga, LLC D/B/a Amedisys Home Health201 Maple Drive, Vidalia, GA 30474Certificate 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

Locations (25 of 52)

1206 Crawford St
Ste A
Americus, GA 31709
Phone (229) 928-3483

3633 Wheeler Rd
Ste 200
Augusta, GA 30909
Phone (706) 860-0772

417 Blue Ridge St
Ste M
Blairsville, GA 30512
Phone (706) 781-1093

150 Warrior Path NE
Ste 5
Calhoun, GA 30701
Phone (706) 629-3447

1124 N Park St
#1
Carrollton, GA 30117
Phone (770) 832-9310

1124 N Park St
Ste I
Carrollton, GA 30117
Phone (770) 832-9310

300 Glen Eagle Ct
Ste D
Carrollton, GA 30117
Phone (770) 942-1609

11 Charley Harper Dr SE
Ste 150
Cartersville, GA 30120
Phone (770) 382-8801

12 Felton Pl
Ste E
Cartersville, GA 30120
Phone (770) 382-0114

1573 Rome Hwy
Cedartown, GA 30125
Phone (770) 748-9318

401 N Main St
Cedartown, GA 30125
Phone (770) 748-9318

2314 Sullivan Rd
Ste 120
College Park, GA 30337
Phone (404) 684-1932

200 Brookstone Centre Pkwy
Ste 301
Columbus, GA 31904
Phone (706) 327-9334

1292 Wellbrook Cir NE
Ste B
Conyers, GA 30012
Phone (770) 483-7404

9144 Highway 278 NE
Covington, GA 30014
Phone (770) 787-1796

9156 Highway 278 NE
#N
Covington, GA 30014
Phone (770) 787-1796

101 Greenfield Dr
Ste 140
Cumming, GA 30040
Phone (678) 455-5207

94 Spring Lake Dr
Danielsville, GA 30633
Phone (706) 795-2294

691 441 Historic Hwy N
Ste 6
Demorest, GA 30535
Phone (706) 381-6011

3009 Chapel Hill Rd
Ste C
Douglasville, GA 30135
Phone (770) 942-1609

1022 Hillcrest Pkwy
Ste 302
Dublin, GA 31021
Phone (478) 272-4261

121 Colony Dr
Ste B
Fitzgerald, GA 31750
Phone (229) 622-0010

2565 Thompson Bridge Rd
Ste 204
Gainesville, GA 30501
Phone (770) 532-2013

4274 Gray Hwy
Ste C
Gray, GA 31032
Phone (229) 986-5550

1087 E Franklin St
Hartwell, GA 30643
Phone (706) 356-8480

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
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
Kayla Ward Individual W-2 Managing EmployeeAd; Jul 29, 2023

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 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1366627986",
    "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": "201 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748906",
            "telephone_number": "912-537-9004",
            "fax_number": "912-537-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "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": "138-112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336894A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336894H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000336894G (CCSP)",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.