North Georgia Community Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NORTH GEORGIA COMMUNITY HOSPICE, LLC

Practice address

714 S Thornton Ave
Dalton, GA 30720-8230

Phone

(706) 529-3525

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Annalee Harlan

Title

Managing Member

Phone

(706) 529-3525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851501

Legal name

NORTH GEORGIA COMMUNITY HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 19, 2018

Last certification

May 26, 2021

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Mar 7, 2017 in GA

Enrollment address

710 S Thornton Ave
Ste a
Dalton, GA 30720-8410

Listed as

Family HospiceCCN 851501

Ownership

For-Profit

Certified

Apr 19, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Kelvin Jerry Moss, M.D.

  • Hospitalist Physician
  • Dalton, GA
  • NPI 1275640526

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1396272175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307220931",
            "telephone_number": "706-529-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208230",
            "telephone_number": "706-529-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA COMMUNITY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "ANNALEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-529-3525"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Norman Sr., MD
• Linda Kay Norman, D.O.
• North Ga Health District
• North Georgia Anesthesia Services PC
• North Georgia Center for Corrective Jaw Surgery, P.C.
• North Georgia Neurological Institute
• North Georgia Radiology
• North Georgia Sleep Solutions, LLC
• North Georgia Surgery and Comprehensive Breast Center
• North Georgia Surgical Associates

• Community Based Hospice Care Agency in Dalton, GA
• Providers in Dalton, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.