Organization Active NPI

Marmalade Pallative Health LLC

Doing business as Abbey Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Social Circle, GA
National Provider Identifier
1396624979
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
MARMALADE PALLATIVE HEALTH LLC
Doing business as
Abbey Palliative Care
Practice address
215 Azalea CT
Social Circle, GA 30025-5037
Phone
(770) 464-5858
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Mrs. Ellen T Petry, RN
Title
Administrator
Phone
(770) 464-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

215 Azalea CT
Social Circle, GA 30025-5037

Mailing address

215 Azalea CT
Social Circle, GA 30025-5037
Phone (770) 464-5858

Other names 1

  • Abbey Palliative Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1396624979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 AZALEA CT",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300255037",
            "telephone_number": "770-464-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 AZALEA CT",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300255037",
            "telephone_number": "770-464-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARMALADE PALLATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-464-5858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbey Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Social Circle, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.