STG Healthcare of Atlanta, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STG HEALTHCARE OF ATLANTA, INC

Practice address

5555 Glenridge Connector
Suite 750
Atlanta, GA 30342-4759

Phone

(404) 856-6110

Fax

(404) 252-7590

NPI assigned

Jun 25, 2010

Organization subpart

Yes

Parent organization

STG HEALTHCARE OF ATLANTA, INCAs reported in NPPES

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

Authorized official

Name

Mr. Pascal Gilley Jr.

Title

Ceo

Phone

(404) 843-2708

Specialties & licenses 1

Addresses

Other names 1

• Interim Hospice Doing business as

Part of

STG Healthcare of Atlanta Inc

Locations

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.

• STG Healthcare of Atlanta, Inc.

  • Home Health Agency
  • Atlanta, GA
  • NPI 1952337214
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Josette Leblanc-Riley, NP-C

  • Family Nurse Practitioner
  • Athens, GA
  • NPI 1790145563
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1992016877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR",
            "address_2": "SUITE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "404-856-6110",
            "fax_number": "404-252-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR",
            "address_2": "SUITE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "404-856-6110",
            "fax_number": "404-252-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STG HEALTHCARE OF ATLANTA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STG HEALTHCARE OF ATLANTA, INC",
        "enumeration_date": "2010-06-25",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-843-2708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tylise L Stewart, NP
• Veronica A Stewart
• Walter Seth Stewart, D.M.D.
• Warrick Tremayne Stewart, ED.D., CRC, LPC,
• Yancey Lynn Stewart, APRN
• STG Healthcare of Atlanta, Inc.
• Joseph Bryan Stickney V, LCSW
• Megan Stidham, N.P.
• Meredith C Stidham, FNP-BC
• Michael Fred Stiefel, MD

• Community Based Hospice Care Agency in Atlanta, GA
• Providers in Atlanta, 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 Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.