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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.