Premeir Hospice of Georgia, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

069-164-H Issued in GA

Legal business name

PREMEIR HOSPICE OF GEORGIA, INC.

Practice address

500 Spring St SE
Suite 204
Gainesville, GA 30501-3773

Phone

(219) 756-7640

Fax

(219) 756-3876

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna S Huddleston, PH.D., RN

Title

Vice President

Phone

(219) 756-7640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992776124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463100610",
            "telephone_number": "219-756-7640",
            "fax_number": "219-756-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRING ST SE",
            "address_2": "SUITE 204",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013773",
            "telephone_number": "219-756-7640",
            "fax_number": "219-756-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMEIR HOSPICE OF GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "219-756-7640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D., RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "069-164-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan James Powell, DPT
• Hopian Pownall
• Radhika Prabhakar
• Kalpana R Prasad, MD
• Sarah Alexandria Pratts, MS
• Premise Health of Georgia Medical PC
• Premise Health of Georgia Medical, P.C.
• Julie Pardue Presley, M.D.
• Brandon Christopher Preston
• Christian Price, CAA

• Community Based Hospice Care Agency in Gainesville, GA
• Providers in Gainesville, 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 22, 2020; 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.