Organization Active NPI

Family Hospice Macon, LLC

  • Community Based Hospice Care Agency
  • Macon, GA
National Provider Identifier
1619667300
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAMILY HOSPICE MACON, LLC
Practice address
4562 Forsyth Rd Ste 4
Macon, GA 31210-0510
Phone
(800) 410-4663
Fax
(706) 807-6941
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Marcus L Kimsey
Title
Manager
Phone
(800) 410-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4562 Forsyth Rd Ste 4
Macon, GA 31210-0510

Mailing address

4562 Forsyth Rd Ste 4
Macon, GA 31210-0510
Phone (800) 410-4663

Other practice location 1

2401 Holly Dr Ste C
Milledgeville, GA 31061-5045
Phone (800) 410-4663

Other names 1

  • Family Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809002345 GA Part A Provider - Hospice 4486016300 Practice locations: Dublin, GA; Macon, GA; Milledgeville, GA

Hospice certification: CCN 851550

Legal name
FAMILY HOSPICE MACON, LLC
Doing business as
FAMILY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 13, 2021
Last certification
Oct 13, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLC
Incorporated
Sep 8, 2022 in GA
Enrollment address
4562 Forsyth Rd
Ste 4
Macon, GA 31210-0510

Care Compare: Hospice

Medicare Care Compare
Listed as
Family HospiceCCN 851550
Ownership
For-Profit
Certified
Oct 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2276719Family Hospice Macon, LLC4562 Forsyth Road, Suite 4, Macon, GA 31210Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

915 Hill Park
Ste 302
Macon, GA 31201

2401 Holly Dr
Ste C
Milledgeville, GA 31061
Phone (800) 410-4663

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
Family Hospice LLC Organization, Macon, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Marcus L Kimsey Individual Corporate OfficerLLC Manager Jul 1, 2023
Operational/Managerial ControlLLC Manager Jul 1, 2023
The Draughon Family Trust Dated January 22, 2021 Organization, Atlanta, GA 5% Or Greater Indirect Ownership Interest Jul 1, 2025 33.2%
Charles Hall Individual Corporate OfficerCeo Apr 4, 2025
Operational/Managerial ControlCeo Apr 4, 2025
Robin Stanton Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 6%
Corporate OfficerClinical Officer-Board of Directors Apr 4, 2025
Joseph Herrin Individual Corporate OfficerVP of Ops (Ga) Apr 4, 2025
Jeffrey K Nickell Individual Corporate OfficerCfo Apr 4, 2025
W-2 Managing EmployeeAd; Mar 9, 2026
Operational/Managerial ControlCfo Apr 4, 2025
Jack Draughon Individual OtherTrustee Jul 1, 2025
The 2021 Mark Kimsey Family Trust Dated June 30, 2021 Organization, Macon, GA 5% Or Greater Indirect Ownership Interest Jul 1, 2025 50.3%
Sabry a Gabriel Individual Contracted Managing EmployeeMD; Apr 16, 2023
Amy L Nelson Individual OtherTrustee Jan 4, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the buyer Elpis HospiceCCN 851550, GA, NPI 1023766219

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1619667300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 FORSYTH RD STE 4",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100510",
            "telephone_number": "800-410-4663",
            "fax_number": "706-807-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 FORSYTH RD STE 4",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100510",
            "telephone_number": "800-410-4663",
            "fax_number": "706-807-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Holly Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310615045",
            "country_code": "US",
            "telephone_number": "800-410-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY HOSPICE MACON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "KIMSEY",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-410-4663"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.