NPIMap

Organization Active NPI

Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Valdosta, GA
National Provider Identifier
1720036494
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
092-266 Issued in GA
Legal business name
AMEDISYS GEORGIA, L.L.C.
Practice address
2947 N Ashley St
Suite C
Valdosta, GA 31602-1706
Phone
(229) 245-0646
Fax
(229) 245-8946
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Joshua L. Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 092-266 GA Primary

Addresses

Primary practice location

2947 N Ashley St
Suite C
Valdosta, GA 31602-1706

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
000748712AMedicaidGA

Other names 1

  • Amedisys Home Health of Valdosta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000349 GA Part A Provider - Home Health Agency 2264342823 Practice locations: Valdosta, GA

Home health agency certification: CCN 117114

Legal name
AMEDISYS GEORGIA, L.L.C.
Doing business as
AMEDISYS HOME HEALTH OF VALDOSTA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 1997
Last certification
Feb 13, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 1, 2002 in GA
Enrollment address
2947 N Ashley St
Ste C
Valdosta, GA 31602-1712

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health of ValdostaCCN 117114
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 6, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
11D0923099Amedisys Ga LLC Dba Amedisys Home HLTH of Valdosta2947 North Ashley Street, Suite C, Valdosta, GA 31602Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2947 N Ashley St
Ste C
Valdosta, GA 31602
Phone (229) 245-0646

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Celeste Peiffer Individual Corporate Director Sep 12, 2006
Amedisys Georgia, L.L.C. Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jan 17, 2012
Amedisys Inc Organization, Baton Rogue, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Feb 20, 2015
Thomas Joseph Dolan Individual Corporate Director Mar 25, 2008
Monica L Guidroz Individual Corporate OfficerSecretary Regulatory Reporting Nov 1, 2012
Brittnee B Hiott Individual W-2 Managing EmployeeAdministrator Jul 16, 2019 100%
Operational/Managerial ControlAdministrator Jul 16, 2019 100%
Amedisys Holding LLC Organization, Baton Rogue, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Paul Kusserow Individual Corporate OfficerPresident Jan 1, 2015
Patricia U Goff Individual Corporate OfficerSecretary, Regulatory Reporting Oct 1, 2018

Owners & managing parties with NPI records 14

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

View all 14

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health of MaconMacon, GA, CCN 117093 Home health agency 5% Or Greater Direct Ownership Interest Jan 17, 2012
Central Home Health Care, an Amedisys CompanyTucker, GA, CCN 117026 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 1998
Dec 1, 1998

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1720036494",
    "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": "2947 N ASHLEY ST",
            "address_2": "SUITE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021706",
            "telephone_number": "229-245-0646",
            "fax_number": "229-245-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS GEORGIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "092-266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000748712A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Valdosta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.