NPIMap

Organization Active NPI

Appalachian Hospice LLC

Doing business as Appalachian Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Blairsville, GA
National Provider Identifier
1790494334
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
APPALACHIAN HOSPICE LLC
Doing business as
Appalachian Palliative Care
Practice address
1346 Pat Haralson Dr
Blairsville, GA 30512-8410
Phone
(706) 781-0924
Fax
(706) 781-3406
NPI assigned
Nov 22, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN HOSPICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Gary W Rasmussen
Title
President
Phone
(706) 781-0924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X Primary

Addresses

Primary practice location

1346 Pat Haralson Dr
Blairsville, GA 30512-8410

Mailing address

1346 Pat Haralson Dr
Blairsville, GA 30512-8410
Phone (706) 781-0924

Other identifiers 1

IdentifierTypeStateIssuer
HSPC001454OtherGAHOSPICE PERMIT

Other names 1

  • Appalachian Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230104002876 GA Part B Supplier - Clinic/Group Practice 2567846199 Receives reassigned benefits from 6 practitioners
Practice locations: Blairsville, GA; Cleveland, GA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Palliative Care2 organizations share this tax ID, including this one
Part of
Appalachian Palliative Care

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1790494334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128410",
            "telephone_number": "706-781-0924",
            "fax_number": "706-781-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128410",
            "telephone_number": "706-781-0924",
            "fax_number": "706-781-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN HOSPICE LLC",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-781-0924"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE PERMIT",
            "identifier": "HSPC001454",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.