Organization Active NPI

Southern Comfort Hospice, LLC

  • Community Based Hospice Care Agency
  • Tucker, GA
National Provider Identifier
1437700812
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Mrs. Vickie Lynn Jumper, NPNPI 1154087997
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 851532 · All quality measures
Ownership
For-Profit
Certified
Jul 14, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Alison K Zavodny Individual W-2 Managing EmployeeMD; Sep 19, 2019
Vickie Jumper Individual 5% Or Greater Direct Ownership InterestOwner Aug 13, 2019 100%
W-2 Managing EmployeeAd; Sep 16, 2019 100%
Operational/Managerial ControlCeo 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.

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.

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.