Priority Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIORITY HOSPICE LLC

Doing business as

Pathlight Hospice

Practice address

101 Devant St Ste 306
Fayetteville, GA 30214-2714

Phone

(678) 545-4399

NPI assigned

Feb 24, 2022

Last updated

Oct 21, 2024By 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

Ebony PhillipsNPI 1700731908

Title

Owner

Phone

(678) 545-4399

Specialties & licenses 1

Addresses

Other names 1

• Pathlight 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 1659027944. Details of each certification follow.

• CCN 851573 Hospice · Active · Details

Hospice certification: CCN 851573

Legal name

PRIORITY HOSPICE LLC

Doing business as

PATHLIGHT HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 28, 2023

Last certification

Jun 28, 2023

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Oct 7, 2021 in GA

Enrollment address

101 Devant St
Ste 306
Fayetteville, GA 30214-2714

Listed as

Pathlight HospiceCCN 851573 · All quality measures

Certified

Jun 28, 2023

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

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ebony Phillips

  • Registered Nurse
  • Fayetteville, GA
  • NPI 1700731908
  NPD Authorized official

Affiliated clinicians 2

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

• Jonathan Lowman, MD

  • Internal Medicine Physician
  • Union City, GA
  • NPI 1699748061

  Hospice

  Care Compare affiliation
• Todd C Martin, M.D.

  • Hospitalist Physician
  • Canton, GA
  • NPI 1639464936

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1659027944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 306",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 306",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142714",
            "telephone_number": "678-545-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-545-4399"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathlight Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Fayetteville, GA
• Providers in Fayetteville, 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 Oct 21, 2024; 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.