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Amedisys Georgia, L.L.C.

Organization Active NPI Home Health Agency · Tucker, GA

NPI 1477501179 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1477501179
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
044-252-H (GA)
Legal business name
AMEDISYS GEORGIA, L.L.C.
Practice address
1990 Lakeside Pkwy Ste 210
Tucker, GA 30084-5868
Phone
(770) 938-9611
Fax
(770) 938-9564
NPI assigned
May 4, 2006
Organization subpart
No

Authorized official

Name
Joshua L. Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Owners & managing parties with NPI records 14

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

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 2

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

Affiliated clinicians 180

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

View all 180

Medicare Care Compare: Home health agency

Listed as
Central Home Health Care, an Amedisys Company CCN 117026
Overall star rating
★★★★☆ 4 of 5
Ownership
Proprietary
Certified
Dec 4, 1975
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0672014Amedisys Georgia LLC
1990 Lakeside Parkway, Suite 210, Tucker, GA 30084		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Home health agency certification: CCN 117026

Legal name
AMEDISYS GEORGIA, L.L.C.
Doing business as
CENTRAL HOME HEALTH CARE, AN AMEDISYS COMPANY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 4, 1975
Last certification
Nov 15, 2018
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Incorporated
Aug 1, 2002 in GA
Enrollment address
1990 Lakeside Pkwy
Ste 240
Tucker, GA 30084-5868

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Unitedhealth Group Incorporated
Organization · Minnetonka, MN
Corporation 		5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip
Individual 		Corporate Officer
Vice President		 Jan 1, 2026
Amedisys Georgia, L.L.C.
Organization · Baton Rouge, LA
LLC 		5% Or Greater Direct Ownership Interest Dec 1, 1998 100%
Operational/Managerial Control Dec 1, 1998
Kimberly Seymour
Individual 		Corporate Officer
Coo - LHC Group		 Apr 13, 2026
Bridget R Kaigler
Individual 		Corporate Officer
Manager, Regulatory		 Apr 15, 2022
W-2 Managing Employee Apr 15, 2022
Amedisys Inc
Organization · Baton Rouge, LA
Corporation, Chain home office 		5% Or Greater Indirect Ownership Interest Dec 1, 1998 100%
Joni Babineaux
Individual 		Corporate Officer
Cfo - LHC Group		 Apr 13, 2026
Kristina J Braud
Individual 		Corporate Officer
Manager, Regulatory		 Apr 15, 2022
W-2 Managing Employee Apr 15, 2022
Crystal Lemons-Allgood
Individual 		W-2 Managing Employee
Admin		 Jan 28, 2022 100%
Operational/Managerial Control
Admin		 Jan 28, 2022 100%
Jeanne Louise Shingleton
Individual 		Corporate Officer
Secretary		 Jan 1, 2026
Amedisys Holding LLC
Organization · Baton Rouge, LA
LLC 		5% Or Greater Direct Ownership Interest Jan 1, 2011
Joshua Lee Proffitt
Individual 		Corporate Officer
President		 Jan 1, 2026

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health of Macon
Macon, GA · CCN 117093		 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012
Amedisys Home Health of Valdosta
Valdosta, GA · CCN 117114		 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050525000310 GA Part a Provider - Home Health Agency 2264342823 Practice locations: Conyers, GA; Lawrenceville, GA; Tucker, GA; Winder, GA

National Provider Directory

Tax ID family
Amedisys Georgia LLC (61 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 044-252-H GA Yes

Addresses

Primary practice location

1990 Lakeside Pkwy Ste 210
Tucker, GA 30084-5868

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers

IdentifierTypeStateIssuer
00832444AMedicaidGA
00832444CMedicaidGA
00832444BMedicaidGA
00832444DMedicaidGA

Other providers in Tucker, GA

All providers in Tucker, GA · Home Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.