Active NPI
Hospice Advantage, LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Savannah, GA
National Provider Identifier
1396205696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- HOSPICE ADVANTAGE, LLC
- Practice address
- 450 Mall Blvd Ste a
Savannah, GA 31406-4864 - Phone
- (912) 354-3727
- Fax
- (912) 354-3780
- NPI assigned
- Mar 22, 2019
- Organization subpart
- No
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
450 Mall Blvd Ste a
Savannah, GA 31406-4864
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022
Other names 1
- Compassus - Savannah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190821003817 | GA | Part B Supplier - Clinic/Group Practice | 3779544960 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Duluth, GA; Kennesaw, GA; Savannah, GA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Duluth, GA
- NPI 1992261838
O20190821003817
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
Member Of
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Atlanta, GA
- NPI 1275621302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1396205696",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 MALL BLVD STE A",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064864",
"telephone_number": "912-354-3727",
"fax_number": "912-354-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE ADVANTAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"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": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassus - Savannah",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Compassus - Savannah",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.