Active NPI
Southern Comfort Hospice, LLC
- Community Based Hospice Care Agency
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SOUTHERN COMFORT HOSPICE, LLC
- Practice address
- 100 Crescent Center Pkwy Ste 395
Tucker, GA 30084-7039 - Phone
- (470) 354-3231
- Fax
- (470) 354-3131
- NPI assigned
- Sep 26, 2019
- Last updated
- Jul 15, 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. Vickie Lynn Jumper, NP
- Title
- Owner
- Phone
- (470) 354-3231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
100 Crescent Center Pkwy Ste 395
Tucker, GA 30084-7039
Mailing address
100 Crescent Center Pkwy Ste 395
Tucker, GA 30084-7039
Phone (470) 354-3231
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vickiejumper@southerncomforthospice.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191104003305 | GA | Part A Provider - Hospice | 6103158563 | Practice locations: Tucker, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437700812. Details of each certification follow.
Hospice certification: CCN 851532
- Legal name
- SOUTHERN COMFORT HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 14, 2020
- Last certification
- Jul 14, 2020
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC
- Incorporated
- Aug 13, 2019 in GA
- Enrollment address
- 100 Crescent Center Pkwy
Ste 395
Tucker, GA 30084-7039
Care Compare: Hospice
Medicare Care Compare- Listed as
- Southern Comfort Hospice, LLC
- Ownership
- For-Profit
- Certified
- Jul 14, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1400 Buford Hwy
Ste K4
Buford, GA 30518
Phone (470) 354-3231
447 Bradford St NW
Gainesville, GA 30501
Phone (706) 570-1331
245 W Crogan St
Lawrenceville, GA 30046
Phone (470) 354-3231
100 Crescent Center Pkwy
Ste 395
Tucker, GA 30084
Phone (470) 354-3231
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alison K Zavodny | W-2 Managing Employee | Sep 19, 2019 | |
| Vickie Jumper | 5% Or Greater Direct Ownership Interest | Aug 13, 2019 | 100% |
| W-2 Managing Employee | Sep 16, 2019 | 100% | |
| Operational/Managerial Control | Aug 13, 2019 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1336113919
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Nurse Practitioner
- Tucker, GA
- NPI 1154087997
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1336113919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1437700812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CRESCENT CENTER PKWY STE 395",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847039",
"telephone_number": "470-354-3231",
"fax_number": "470-354-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRESCENT CENTER PKWY STE 395",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847039",
"telephone_number": "470-354-3231",
"fax_number": "470-354-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN COMFORT HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-26",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "JUMPER",
"authorized_official_first_name": "VICKIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-354-3231",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vickiejumper@southerncomforthospice.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Crescent Center Pkwy Ste 395",
"city": "Tucker",
"state": "GA",
"country_code": "US",
"postal_code": "300847039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.