Southern Community Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

138135H Issued in GA

Legal business name

SOUTHERN COMMUNITY HOSPICE, INC.

Doing business as

Community Hospice

Practice address

904 Mount Vernon Rd
Vidalia, GA 30474-3030

Phone

(912) 537-0063

Fax

(912) 537-2005

NPI assigned

Nov 1, 2006

Last updated

Jul 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krista Howard

Title

Authorized Billing Official

Phone

(478) 374-4888

Specialties & licenses 2

Addresses

Other names 1

• Community Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497832844. Details of each certification follow.

• CCN 111576 Hospice · Active · Details

Hospice certification: CCN 111576

Legal name

SOUTHERN COMMUNITY HOSPICE, INC.

Doing business as

COMMUNITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 28, 1999

Last certification

Mar 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 23, 1999 in GA

Enrollment address

904 Mount Vernon Rd
Vidalia, GA 30474-3057

Listed as

Community HospiceCCN 111576 · All quality measures

Ownership

For-Profit

Certified

Oct 28, 1999

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospice Care Options Inc

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1639177397

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Hospice Care Options Inc

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1639177397

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 10

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

• Glen Jason Bunn Jr., MD

  • Emergency Medicine Physician
  • Vidalia, GA
  • NPI 1487004230

  Hospice

  Care Compare affiliation
• F. Geoffery Conner, MD

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1902942220

  Hospice

  Care Compare affiliation
• Mark Hoerman, MD

  • Pulmonary Disease Physician
  • Vidalia, GA
  • NPI 1366440984

  Hospice

  Care Compare affiliation
• Jason Laney, M.D.

  • Internal Medicine Physician
  • Hazlehurst, GA
  • NPI 1760708580

  Hospice

  Care Compare affiliation
• Frederick Martinez, M.D.

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1992859599

  Hospice

  Care Compare affiliation
• Misty Denise Poole, M.D.

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1134358419

  Hospice

  Care Compare affiliation
• James L Ray, MD

  • Family Medicine Physician
  • Swainsboro, GA
  • NPI 1679523419

  Hospice

  Care Compare affiliation
• Ronnie R Smith, M. D.

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1669465670

  Hospice

  Care Compare affiliation
• Jennifer Yannucci, MD

  • Hematology & Oncology Physician
  • Savannah, GA
  • NPI 1861477721

  Hospice

  Care Compare affiliation
• Oluwatoyin Opeyemi Alawale, M.D.

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1780245829

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1497832844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236780",
            "telephone_number": "478-374-4888",
            "fax_number": "478-374-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MOUNT VERNON RD",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743030",
            "telephone_number": "912-537-0063",
            "fax_number": "912-537-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMMUNITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "AUTHORIZED BILLING OFFICIAL",
        "authorized_official_telephone_number": "478-374-4888"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "138135H",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "GA",
            "license": "138135H",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southern Chiro Vidalia, LLC
• Southern Choices LLC
• Southern Magnolia Personal Care Home
• John V Spence, M.D.
• Charles M Spivey, MD
• John Casey Spivey, MD
• Carl Leland Stalvey, M.D.

• Community Based Hospice Care Agency in Vidalia, GA
• Providers in Vidalia, 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 Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.