Organization Active NPI

GHC-Jesup, LLC

Doing business as GHC Hospice

  • Community Based Hospice Care Agency
  • Jesup, GA
National Provider Identifier
1831597616
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GHC-JESUP, LLC
Doing business as
GHC Hospice
Geogia Hospice Care
Practice address
141 S Macon St
Jesup, GA 31545-1114
Phone
(912) 427-3202
Fax
(912) 427-6934
NPI assigned
Dec 11, 2014
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Pamela Duncan
Title
Chief Compliance Officer
Phone
(800) 932-2738

Specialties & licenses 1

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

Addresses

Primary practice location

141 S Macon St
Jesup, GA 31545-1114

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other names 2

  • GHC Hospice Doing business as
  • Geogia Hospice Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150126001082 GA Part A Provider - Hospice 5698099513 Practice locations: Hinesville, GA; Jesup, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831597616. Details of each certification follow.

Hospice certification: CCN 111760

Legal name
GHC-JESUP, LLC
Doing business as
GEORGIA HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 7, 2015
Last certification
Mar 17, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Aug 25, 2014 in GA
Enrollment address
141 S Macon St
Jesup, GA 31545-1114

Care Compare: Hospice

Medicare Care Compare
Listed as
Georgia Hospice CareCCN 111760 · All quality measures
Ownership
For-Profit
Certified
May 7, 2015
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
11D2101907GHC-Jesup, LLC Dba Georgia Hospice Care141 South Macon Street, Jesup, GA 31545Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Locations

481 E G Miles Pkwy
Ste D
Hinesville, GA 31313

141 S Macon St
Jesup, GA 31545
Phone (912) 427-3202

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Jordan Crumley Individual W-2 Managing EmployeeCompliance Department Sep 9, 2022
Linden Capital Partners V-a LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 16.31%
Acg Intermediate, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rep Coinvest III Agp Blocker, Inc Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.41%
Troy Yarborough Individual Corporate OfficerCeo Sep 9, 2022
Hayley Eby Individual W-2 Managing Employee Jan 30, 2023
CDPQ Fonds 780, S.E.C Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 20.53%
Acg Parent Holdings, LP Organization, Wilmington, DE 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Arrow Management Holdings LLC Organization, Wilmington, DE LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Linden Investments III LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 14.33%
Rep Agp II Holdco, LP Organization, Charlotte, NC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.23%
Janelle I Plows Individual W-2 Managing EmployeeCompliance Department Sep 9, 2022
Marsha Hayes Individual W-2 Managing EmployeeCompliance Department Sep 9, 2022
Acg Intermediary LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
TVG HCSC Blocker, LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 15.61%
Pamela a Duncan Owens Individual Corporate OfficerCco Sep 9, 2022
Rep Agp III Blocker, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 9.82%
Linden Capital Partners V LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 10.39%
Acg Buyer, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rhonda Hamilton Individual Corporate OfficerChief Accounting Officer Mar 1, 2025
Calin G Badea Individual Contracted Managing EmployeeMedical Director Apr 1, 2016
Dustin Williamson Individual W-2 Managing EmployeeAd; Aug 26, 2025
Acg Acquisition LLC Organization, Spartanburg, SC LLC 5% Or Greater Direct Ownership Interest Jul 25, 2025 100%

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 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 5

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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1831597616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MACON ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451114",
            "telephone_number": "912-427-3202",
            "fax_number": "912-427-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC-JESUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "800-932-2738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GHC Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geogia Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.