NPIMap

Organization Active NPI

Amedisys North Carolina, L.L.C.

Doing business as Amedisys Home Health of Fayetteville

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1548205487
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC 0292 Issued in NC
Legal business name
AMEDISYS NORTH CAROLINA, L.L.C.
Doing business as
Amedisys Home Health of Fayetteville
Practice address
2021 Valleygate Dr Ste 201
Fayetteville, NC 28304-3763
Phone
(910) 483-8153
NPI assigned
Jun 17, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Joshua Lee Proffitt
Title
Ceo
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC 0292 NC Primary

Addresses

Primary practice location

2021 Valleygate Dr Ste 201
Fayetteville, NC 28304-3763

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
1548205487MedicaidNC

Other names 1

  • Amedisys Home Health of Fayetteville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000418 NC Part A Provider - Home Health Agency 1951354240 Practice locations: Fayetteville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548205487. Details of each certification follow.

Home health agency certification: CCN 347132

Legal name
AMEDISYS NORTH CAROLINA, L.L.C.
Doing business as
AMEDISYS HOME HEALTH OF FAYETTEVILLE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 14, 1985
Last certification
Oct 12, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 31, 2001 in NC
Enrollment address
2021 Valleygate Dr
Ste 201
Fayetteville, NC 28304-3763

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health of FayettevilleCCN 347132 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 14, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2021 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 483-8153

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Daniel Ryan Watson Individual W-2 Managing EmployeeAdministrator Mar 24, 2017 100%
Operational/Managerial ControlAdministrator Mar 24, 2017 100%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 20, 2015 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2009 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1548205487",
    "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": "2021 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043763",
            "telephone_number": "910-483-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS NORTH CAROLINA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 0292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548205487",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.