Allay Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALLAY HOSPICE INC.

Practice address

415 W Hill St Ste 2
Thomson, GA 30824-2105

Phone

(706) 595-9688

NPI assigned

Aug 12, 2021

Last updated

Aug 12, 2021By 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

Denise J Kirkland

Title

Secretary

Phone

(706) 595-9688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881369783. Details of each certification follow.

• CCN 851564 Hospice · Active · Details

Hospice certification: CCN 851564

Legal name

ALLAY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 28, 2022

Last certification

Nov 17, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

415 W Hill St
Ste 2
Thomson, GA 30824-2105

Listed as

Allay Hospice, IncCCN 851564 · All quality measures

Certified

Sep 28, 2022

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 8

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

Owners & managing parties with NPI records 1

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

• Tyler J Provost, D.O.

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1588186191

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 6

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

• James L Lemley, M.D.

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1952308926

  Hospice

  Care Compare affiliation
• Tyler J Provost, D.O.

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1588186191

  Hospice

  Care Compare affiliation
• James Christopher Sheppard, MD

  • Internal Medicine Physician
  • Thomson, GA
  • NPI 1528075835

  Hospice

  Care Compare affiliation
• David Ronald Squires, M.D.

  • Hematology & Oncology Physician
  • Augusta, GA
  • NPI 1376520148

  Hospice

  Care Compare affiliation
• Michael Scott Stamper, N.P.

  • Nurse Practitioner
  • Thomson, GA
  • NPI 1831318187

  Hospice

  Care Compare affiliation
• Daryl Carson Wiley, M.D.

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1508859448

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1881369783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W HILL ST STE 2",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W HILL ST STE 2",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242105",
            "telephone_number": "706-595-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAY HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "706-595-9688"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Thomson, GA
• Providers in Thomson, 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 Aug 12, 2021; 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.