NPIMap

Organization Active NPI

Empyrean Hospice of Georgia, LLC

  • Community Based Hospice Care Agency
  • Blairsville, GA
National Provider Identifier
1467225698
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EMPYREAN HOSPICE OF GEORGIA, LLC
Practice address
63 Plott St Ste E
Blairsville, GA 30512-3666
Phone
(706) 842-6122
NPI assigned
Oct 31, 2023
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Stephanie Baheth
Title
Cao
Phone
(980) 920-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

63 Plott St Ste E
Blairsville, GA 30512-3666

Mailing address

647 Brawley School Rd Ste 104
Mooresville, NC 28117-6876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231221000098 GA Part A Provider - Hospice 2365801115 Practice locations: Blairsville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467225698. Details of each certification follow.

Hospice certification: CCN 851603

Legal name
EMPYREAN HOSPICE OF GEORGIA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 22, 2024
Last certification
Jul 19, 2024
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
63 Plott St
Ste E
Blairsville, GA 30512-3666

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Empyrean Hospice of Georgia, LLC-(Blairsville)CCN 851603 · All quality measures
Certified
Jul 22, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

108 S Pine St
Ste 108
Adel, GA 31620
Phone (229) 500-6250

63 Plott St
Ste E
Blairsville, GA 30512
Phone (706) 842-6122

5771 Veterans Pkwy
Ste B
Columbus, GA 31904
Phone (706) 550-9596

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jonathan a Lawrence Individual Contracted Managing EmployeeMD; Dec 1, 2024
Empyrean Partners, LLC Organization, Mooresville, NC LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2023 100%
Empyrean Hospice, LLC Organization, Mooresville, NC LLC 5% Or Greater Direct Ownership Interest Jun 1, 2023 100%
Stephanie Baheth Individual Corporate OfficerSecretary Dec 6, 2024 25%
Melissa Coleman Individual Corporate OfficerTreasurer Jun 1, 2023 25%
Carol Barbee Individual W-2 Managing EmployeeAd; Jan 5, 2026
Empyrean Health Services, LLC Organization, Mooresville, NC LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2023 100%
Larry R Graham Individual 5% Or Greater Indirect Ownership InterestOwner Jan 1, 2025 100%
Corporate OfficerPresident & Ceo Jan 1, 2025 50%
Operational/Managerial ControlPresident & Ceo Jan 1, 2025 100%
Empyrean Healthcare Holdings, LLC Organization, Mooresville, NC LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1467225698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 BRAWLEY SCHOOL RD STE 104",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLOTT ST STE E",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123666",
            "telephone_number": "706-842-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPYREAN HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "BAHETH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "980-920-3676"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.