Active NPI
Suncrest Home Health of Georgia, Inc
- Home Health Agency
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 033074
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003116540A | Medicaid | GA |
Other names 1
- SunCrest Home Health
National Provider Directory
National Provider DirectoryMember 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.