NPIMap

Organization Active NPI

Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Tucker, GA
National Provider Identifier
1477501179
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
044-252-H Issued in 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
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477501179. Details of each certification follow.

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
LLCProprietary
Incorporated
Aug 1, 2002 in GA
Enrollment address
1990 Lakeside Pkwy
Ste 240
Tucker, GA 30084-5868

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Care Compare: Home health agency

Medicare Care Compare
Listed as
Central Home Health Care, an Amedisys CompanyCCN 117026 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 4, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0672014Amedisys Georgia LLC1990 Lakeside Parkway, Suite 210, Tucker, GA 30084Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Georgia LLC61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1990 Lakeside Pkwy
Ste 210
Tucker, GA 30084
Phone (770) 938-9611

Ownership & related parties

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 OfficerVice 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 OfficerCoo - LHC Group Apr 13, 2026
Bridget R Kaigler Individual Corporate OfficerManager, 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 OfficerCfo - LHC Group Apr 13, 2026
Kristina J Braud Individual Corporate OfficerManager, Regulatory Apr 15, 2022
W-2 Managing Employee Apr 15, 2022
Crystal Lemons-Allgood Individual W-2 Managing EmployeeAdmin Jan 28, 2022 100%
Operational/Managerial ControlAdmin Jan 28, 2022 100%
Jeanne Louise Shingleton Individual Corporate OfficerSecretary 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 OfficerPresident Jan 1, 2026

Owners & managing parties with NPI records 14

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

  • Amedisys Georgia LLC

    dba Central Home Health Care, an Amedisys Company

    • Home Health Agency
    • Atlanta, GA
    • NPI 1831147529

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health of Covington

    • Home Health Agency
    • Covington, GA
    • NPI 1134177835

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Tuglaoo Home Health Agency, an Amedisys Company

    • Home Health Agency
    • Lavonia, GA
    • NPI 1235187980

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Coosa Valley Home Health, an Amedisys Company

    • Home Health Agency
    • Rome, GA
    • NPI 1285682955

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health

    • Home Health Agency
    • Waycross, GA
    • NPI 1316120322

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health of Macon

    • Home Health Agency
    • Macon, GA
    • NPI 1356399018

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health

    • Home Health Agency
    • Tifton, GA
    • NPI 1356524359

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health

    • Home Health Agency
    • Vidalia, GA
    • NPI 1366627986

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba North Georgia Home Health Agency, an Amedisys Company

    • Home Health Agency
    • Ringgold, GA
    • NPI 1548218290

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health of Valdosta

    • Home Health Agency
    • Valdosta, GA
    • NPI 1720036494

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Tugaloo Home Health Agency, an Amedisys Company

    • Home Health Agency
    • Gainesville, GA
    • NPI 1912955667

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Amedisys Georgia, L.L.C.

    dba Amedisys Home Health

    • Home Health Agency
    • Savannah, GA
    • NPI 1942483920

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 14

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 MaconMacon, GA, CCN 117093 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012
Amedisys Home Health of ValdostaValdosta, GA, CCN 117114 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 180

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

View all 180

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1477501179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 LAKESIDE PKWY STE 210",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845868",
            "telephone_number": "770-938-9611",
            "fax_number": "770-938-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-252-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.