Blue Summit Hospice of North Georgia LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC

Practice address

1124 N Tennessee Street
Suite 103, Office 13
Cartersville, GA 30120

Phone

(470) 365-2657

Fax

(470) 359-5886

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By 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

Amanda Delpozo McKissick

Title

Ceo

Phone

(678) 386-5578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1568169183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW # 511",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N TENNESSEE STREET",
            "address_2": "SUITE 103, OFFICE 13",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "470-365-2657",
            "fax_number": "470-359-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "DELPOZO MCKISSICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-386-5578"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Durward Black Jr., MD
• Carlla Blanton, DMD
• Craig R Blatt, DDS
• Jennifer R Bledsoe, LCSW
• Daniel Jordan Blevins, FNP
• Justin Boccuti, MS NCC LPC
• Paul Richard Boecler, D.M.D., M.S.
• Anna Robinson Boling, PT
• Scott Bonk, LMFT
• Jovas C. Booker, D.M.D

• Community Based Hospice Care Agency in Cartersville, GA
• Providers in Cartersville, 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 Feb 14, 2023; 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.