Organization Active NPI

Suncrest Home Health of Georgia, Inc

  • Home Health Agency
  • Smyrna, GA
National Provider Identifier
1447417639
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
033074 Issued in GA
Legal business name
SUNCREST HOME HEALTH OF GEORGIA, INC
Practice address
2400 Lake Park Dr SE Ste 450
Smyrna, GA 30080-7644
Phone
(770) 429-1455
Fax
(770) 801-9529
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mr. Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 033074 GA Primary

Addresses

Primary practice location

2400 Lake Park Dr SE Ste 450
Smyrna, GA 30080-7644

Mailing address

9510 Ormsby Station Rd Ste 300
Louisville, KY 40223-5016
Phone (502) 891-1000

Other practice location 1

1770 The Exchange
Suite 140
Atlanta, GA 30339
Phone (770) 429-1455

Other identifiers 1

IdentifierTypeStateIssuer
003116540AMedicaidGA

Other names 1

  • SunCrest Home Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1770 The Exchange SE
Ste 140
Atlanta, GA 30339
Phone (770) 429-1445

2400 Lake Park Dr SE
Ste 450
Smyrna, GA 30080
Phone (770) 429-1455

2400 Lake Park Dr SE
Ste 110
Smyrna, GA 30080
Phone (678) 641-6204

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1447417639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235016",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKE PARK DR SE STE 450",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807644",
            "telephone_number": "770-429-1455",
            "fax_number": "770-801-9529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 The Exchange",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30339",
            "country_code": "US",
            "telephone_number": "770-429-1455",
            "fax_number": "678-354-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST HOME HEALTH OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116540A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.