Faith Hospice of Atlanta LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITH HOSPICE OF ATLANTA LLC

Doing business as

Faith Hospice of Atlanta

Practice address

1755 The Exchange SE Ste 342
Atlanta, GA 30339-7434

Phone

(678) 310-1790

Fax

(678) 868-0101

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Merecia Jackson, RN

Title

RN/Ceo

Phone

(770) 757-7585

Specialties & licenses 1

Addresses

Other names 1

• Faith Hospice of Atlanta Doing business as

Locations

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1457935660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE STE 342",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397434",
            "telephone_number": "678-310-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE STE 342",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397434",
            "telephone_number": "678-310-1790",
            "fax_number": "678-868-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOSPICE OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MERECIA",
        "authorized_official_title_or_position": "RN/CEO",
        "authorized_official_telephone_number": "770-757-7585",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Hospice of Atlanta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faith Hospice of Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Kathleen Fairley, M.D.
• Grace Faison
• James E Faison
• Keia Verene Faison, MD
• McKaila Elyse Faison
• Faith Medical Agency LLC
• Faith Recovery Treatment Center
• Faith Staffing Agency Inc
• Faith Staffing Agency Inc
• Anaqa Faizer

• Community Based Hospice Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.