Compassus Op of Georgia II LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSUS OP OF GEORGIA II LLC

Practice address

1100 Northside Drive
Macon, GA 31210-2280

Phone

(478) 321-9070

Fax

(478) 812-9270

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Russell Adkins

Title

SVP General Counsel

Phone

(615) 309-5668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 111671

Legal name

COMPASSUS OP OF GEORGIA II LLC

Doing business as

COMPASSUS HOSPICE AND PALLIATIVE CARE- MACON

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 26, 2008

Last certification

Aug 25, 2016

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Aug 31, 2016 in DE

Enrollment address

1100 Northside Dr
Macon, GA 31210-2280

Other NPIs with the same Medicare PAC ID 1

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

• Compassus Op of Georgia II LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Macon, GA
  • NPI 1053877993

  8123303344

  Same PAC ID

Listed as

Compassus Hospice and Palliative Care-MaconCCN 111671

Ownership

Other

Certified

Jun 26, 2008

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Compassus Hospice and Palliative Care - Macon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Compassus Op of Georgia II LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Macon, GA
  • NPI 1053877993
  NPD tax ID

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 1

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

• Clyde O. Green, MD

  • Family Medicine Physician
  • Macon, GA
  • NPI 1417178187

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 166

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

• Hospice Advantage, LLC

  • Community Based Hospice Care Agency
  • Athens, GA
  • NPI 1316963887

  Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Hospice Advantage, LLC

  • Community Based Hospice Care Agency
  • Kennesaw, GA
  • NPI 1497709802

  Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, TI

  CMS ownership
• Hospice Advantage, LLC

  • Community Based Hospice Care Agency
  • Duluth, GA
  • NPI 1558305334

  Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Hospice Advantage, LLC.

  • Community Based Hospice Care Agency
  • Fayetteville, GA
  • NPI 1508882937

  Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, TI

  CMS ownership
• Hospice Advantage, LLC.

  • Community Based Hospice Care Agency
  • East Ellijay, GA
  • NPI 1598924615

  Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Interim Healthcare Hospice, LLC

  • Community Based Hospice Care Agency
  • Atlanta, GA
  • NPI 1891494753

  Washington State Investment Board

  CMS ownership
• Life Choice Hospice of Georgia LLC

  • Community Based Hospice Care Agency
  • Calhoun, GA
  • NPI 1922359132

  Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towe

  CMS ownership
• Aah of Tennessee I, LLC

  • Home Health Agency
  • Centerville, TN
  • NPI 1780462556

  Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Amenity Healthcare, LLC

  • Community Based Hospice Care Agency
  • Cedar Rapids, IA
  • NPI 1003813908

  Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Holdings, L.P., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towe

  CMS ownership
• Ascension Health at Home of Florida I, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1811590961

  Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Ascension Health at Home of Florida II, LLC

  • Home Health Agency
  • Pensacola, FL
  • NPI 1245812205

  Ascension Capital, LLC, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Tower

  CMS ownership
• Ascension Health at Home of Florida III, LLC

  • Home Health Agency
  • Lynn Haven, FL
  • NPI 1790415131

  Ascension Capital, LLC, Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Optum Palliative and Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1609900364

  Acquired from, 2017-01-01

  CMS change of ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Miller, FNP

  • Nurse Practitioner
  • Kathleen, GA
  • NPI 1659185288
  Care Compare group NPD (past)
• Melissa Kirkland Payne, NP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
  • NPI 1518162007
  Care Compare group NPD (past)
• Shae Horsting Stephens, FNP

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1417412032
  Care Compare group
• Christopher Graham, NP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1043825862
  NPD (past)

Affiliated clinicians 3

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

• Clyde O. Green, MD

  • Family Medicine Physician
  • Macon, GA
  • NPI 1417178187

  Hospice

  Care Compare affiliation
• Sebastian Alan Montgomery, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1023506854

  Hospice

  Care Compare affiliation
• Timothy Allen Podesta, M.D.

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1871024802

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1376093534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE DRIVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102280",
            "telephone_number": "478-321-9070",
            "fax_number": "478-812-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS OP OF GEORGIA II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compass Cares-North Central Health District
• Compassionate Care Hospice of Central Georgia, LLC
• Compassionate Care Personal Care Home
• Compassionate Hearts Case Management, LLC
• Compassus Op of Georgia II LLC
• David Compere, LCSW, MAC
• Complete Care & Pain Management Institute,LLC
• Tomas Concepcion, MD
• Concerned Care for Women
• Coneblaa Family Foundation Corp

• All providers in Macon, GA
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.

Verify at the official NPI Registry.