NPIMap

Organization Active NPI

Appalachian Hospice South LLC

Doing business as Appalachian Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Jasper, GA
National Provider Identifier
1497536098
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
APPALACHIAN HOSPICE SOUTH LLC
Doing business as
Appalachian Palliative Care
Practice address
377 Mountain Blvd S Ste 102
Jasper, GA 30143-3175
Phone
(706) 253-4015
Fax
(706) 253-4021
NPI assigned
Oct 10, 2023
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Gary William Rasmussen
Title
President
Phone
(706) 253-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

377 Mountain Blvd S Ste 102
Jasper, GA 30143-3175

Mailing address

1346 Pat Haralson Dr
Blairsville, GA 30512-8410
Phone (706) 781-0924

Other practice location 1

1201 Dews Pond Rd SE Ste 7
Calhoun, GA 30701-9388
Phone (706) 403-6015

Other names 1

  • Appalachian Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240430001427 GA Part B Supplier - Clinic/Group Practice 2365897956 Receives reassigned benefits from 6 practitioners
Practice locations: Jasper, GA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1201 Dews Pond Rd SE
Ste 7
Calhoun, GA 30701
Phone (706) 253-4015

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1497536098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128410",
            "telephone_number": "706-781-0924",
            "fax_number": "706-781-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MOUNTAIN BLVD S STE 102",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301433175",
            "telephone_number": "706-253-4015",
            "fax_number": "706-253-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Dews Pond Rd SE Ste 7",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307019388",
            "country_code": "US",
            "telephone_number": "706-403-6015",
            "fax_number": "706-253-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN HOSPICE SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-253-4015"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.