Guiding Light Hospice SW, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GUIDING LIGHT HOSPICE SW, LLC

Practice address

8 Savannah St Ste 102
Newnan, GA 30263-2503

Phone

(470) 507-4822

Fax

(470) 507-4823

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Thomson

Title

Manager

Phone

(336) 263-1156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851610

Legal name

GUIDING LIGHT HOSPICE SW, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 14, 2025

Last certification

Feb 27, 2025

Organization structure

LLCProprietary

Enrollment address

8 Savannah St
Ste 102
Newnan, GA 30263-2503

Listed as

Guiding Light Hospice SW, LLCCCN 851610 · All quality measures

Certified

Mar 14, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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.

• George Leon Smith III, MD

  • Family Medicine Physician
  • Covington, GA
  • NPI 1750426920

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• George Leon Smith III, MD

  • Family Medicine Physician
  • Covington, GA
  • NPI 1750426920

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1891537346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAVANNAH ST STE 102",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632503",
            "telephone_number": "470-507-4822",
            "fax_number": "470-507-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SAVANNAH ST STE 102",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632503",
            "telephone_number": "470-507-4822",
            "fax_number": "470-507-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT HOSPICE SW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-263-1156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Lamar Grimes, DMD
• Sean Grisham
• Ora Charita Lewis Griskell, MS, RDN, LD
• Kevin Groover
• Michael P. Gruber, MD
• Ashton Guillard, RBT
• Amber Gunnells, RBT
• Carrie Gunter, LPC
• Xiaoyan Guo, M.D.
• Barbara Gurciullo

• Community Based Hospice Care Agency in Newnan, GA
• Providers in Newnan, 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 Jul 24, 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.