Doctors Hospice of Georgia, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

067-3705-H Issued in GA

Legal business name

DOCTORS HOSPICE OF GEORGIA, INC

Doing business as

Doctors Hospice of Georgia Fayetteville

Practice address

1008 Highway 54
Fayetteville, GA 30215-0000

Phone

(706) 307-1400

Fax

(770) 538-5108

NPI assigned

Apr 17, 2009

Organization subpart

No

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

Authorized official

Name

Kevin Joseph McHugh, RN, MSN

Title

President

Phone

(706) 307-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors Hospice of Georgia Fayetteville Doing business as

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1487897674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD",
            "address_2": "BUILDING B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "706-307-1400",
            "fax_number": "770-586-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HIGHWAY 54",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302150000",
            "telephone_number": "706-307-1400",
            "fax_number": "770-538-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPICE OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-307-1400",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "067-3705-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA",
            "identifier": "067-3705-H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Hospice of Georgia Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Roselande Domond, LPC
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• John Edward Donohue II, PHYSICIAN ASSISTANT
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• Community Based Hospice Care Agency in Fayetteville, GA
• Providers in Fayetteville, 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 Apr 17, 2009; 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.