Appalachian Hospice South LLC
Organization Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Jasper, GA
NPI 1497536098 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1497536098
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
- Legal business name
- APPALACHIAN HOSPICE SOUTH LLC
- Practice address
- 12 Sammy McGhee Blvd Ste 202
Jasper, GA 30143-7712 - Phone
- (706) 253-4015
- Fax
- (706) 253-4021
- NPI assigned
- Oct 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Gary William Rasmussen
- Title
- President
- Phone
- (706) 253-4015
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 10
-
Melissa Lynn Byers, APRN
-
Maggie Elizabeth Dean, MSN, APRN, FNP-C
-
Allison Brice, NURSE PRACTITIONER
-
Michael E Wilson, M.D.
-
Addie Elizabeth Walters, FNP-BC
-
Ashley Marie Scott, FNP-C
-
Andrea D Turner, NP
-
Melanie Marie Rivers, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430001427 | GA | Part B Supplier - Clinic/Group Practice | 2365897956 |
Receives reassigned benefits from 6 practitioners Practice locations: Jasper, GA |
National Provider Directory
- Tax ID family
- Appalachian Hospice
Locations
1201 Dews Pond Rd SE
Ste 7
Calhoun, GA 30701
Phone (706) 253-4015
377 Mountain Blvd S
Ste 102
Jasper, GA 30143
Phone (706) 253-4015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | Yes |
Addresses
Primary practice location
12 Sammy McGhee Blvd Ste 202
Jasper, GA 30143-7712
Mailing address
1346 Pat Haralson Dr
Blairsville, GA 30512-8410
Phone (706) 781-0924
Other names
- Appalachian Palliative Care
Other providers in Jasper, GA
- Amedisys Northwest, L.L.C.
- Jeanne Frances Anderson
- Patricia Lesli Anderson
- Mohammad Annaba
- Appalachian Hospice South LLC
- Kelly Araim
- Katie Lee Arnold
- Ashley Arnwine
- Christopher Larry Atkins
- Atlanta Vamc
All providers in Jasper, GA · Hospice and Palliative Medicine (Internal Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.