AMEDISYS GEORGIA, L.L.C. (NPI# 1356524359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356524359 |
| Entity Type | Organization |
| Organization Name | AMEDISYS GEORGIA, L.L.C. |
| Other Organization Name | AMEDISYS HOME HEALTH |
| Practice Address |
72 Kent Rd Ste 3 Tifton GA 31794-1695 |
| Mailing Address |
3854 American Way Suite A Baton Rouge LA 70816-4013 |
| Practice Telephone | 2293860665 |
| Practice Fax Number | 2293865384 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | MR. PAUL B KUSSEROW (PRESIDENT) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 137-111 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000826009K | 05 | |
| GA | 000336872A | 05 | |
| GA | 000336861I (CCSP) | 05 |
| Other Name | Type Code |
|---|---|
| Amedisys Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710283205 | Amedisys Georgia, L.L.C. | Home Health | 1422 Green Rd, Suite F, Chatsworth, GA 30705-6997 | 2011-02-01 |
| 1043455074 | Amedisys Georgia, L.L.C. | Home Health | 4274 Gray Hwy, Suite C, Gray, GA 31032-5938 | 2008-12-04 |
| 1982849907 | Amedisys Georgia, L.L.C. | Home Health | 1501 Milstead Rd Ne Ste 180, Conyers, GA 30012-3838 | 2008-12-04 |
| 1962665224 | Amedisys Georgia, L.L.C. | Home Health | 1022 Hillcrest Pkwy, Suite 302, Dublin, GA 31021-4226 | 2008-07-08 |
| 1942483920 | Amedisys Georgia, L.L.C. | Home Health | 17 Park of Commerce Blvd, Suite 100, Savannah, GA 31405-7436 | 2007-12-12 |
| 1609069756 | Amedisys Georgia, L.L.C. | Home Health | 1124 N Park St, Suite 1, Carrollton, GA 30117-2229 | 2007-08-22 |
| 1437341849 | Amedisys Georgia, L.L.C. | Home Health | 135 Tipton Dr, Dahlonega, GA 30533-1604 | 2007-08-10 |
| 1790903433 | Amedisys Georgia, L.L.C. | Home Health | 202 Professional Ct Se, Suite A, Calhoun, GA 30701-7020 | 2007-04-20 |
| 1235187980 | Amedisys Georgia, L.L.C. | Home Health | 12915 Jones St, Lavonia, GA 30553-1158 | 2006-05-05 |
| 1720036494 | Amedisys Georgia, L.L.C. | Home Health | 2947 N Ashley St, Suite C, Valdosta, GA 31602-1706 | 2006-05-05 |
| Street Address |
72 KENT RD STE 3 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801301627 | Jessica Ann Boyd | Nurse Practitioner | 72 Kent Rd, Tifton, GA 31794-1694 | 2017-12-04 |
| 1780058677 | Nalitia Zow | Nurse Practitioner | 72 Kent Rd, Unit 4, Tifton, GA 31794-1694 | 2015-11-16 |
| 1811397060 | Irwin County Hospital | Obstetrics & Gynecology | 72 Kent Rd, Tifton, GA 31794-1694 | 2014-08-25 |
| 1598037632 | Southern Home Medical LLC | Durable Medical Equipment & Medical Supplies | 72 Kent Rd, Suite 6, Tifton, GA 31794-1694 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093207896 | Trivium Home Health of Georgia, LLC | Home Health | 1823 Old Ocilla Rd Ste B, Tifton, GA 31794-1617 | 2018-06-06 |
| 1184854457 | Southern Home Care Services, Inc. | Home Health | 2020 Pineview Ave, Tifton, GA 31794-3035 | 2009-07-21 |
| 1568647402 | C Opeland Health Services, Inc | Home Health | 417 Ridge Ave N, Tifton, GA 31794-4325 | 2008-01-09 |
| 1851425730 | Vna of Greater Tift Inc. | Home Health | 2014 Us Highway 41 N, Tifton, GA 31794-2710 | 2007-03-15 |
| 1962410886 | Memorial Careone Home Health Services Inc | Home Health | 1823 Old Ocilla Rd, Tifton, GA 31794-1617 | 2006-08-04 |
| 1760422539 | Copeland Health Services, Inc. | Home Health | 225 2nd St E, Tifton, GA 31794-4409 | 2006-06-08 |
| 1992341317 | Southern Home Care Services, Inc. | Home Health | 2020 Pineview Ave, Tifton, GA 31794-3035 | 2019-11-20 |
| 1801432224 | Southern Home Care Services, Inc. | Home Health | 2020 Pineview Ave, Tifton, GA 31794-3035 | 2019-11-20 |
| 1285864421 | Southern Home Care Services, Inc. | Home Health | 2020 Pineview Ave, Tifton, GA 31794-3035 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407901 | Cpg Private Home Care Providers, LLC | Home Health | 238 Stockbridge Rd Ste 215, Jonesboro, GA 30236-3629 | 2020-11-05 |
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
| 1942800743 | Vidma Care Mission, LLC | Home Health | 3045 Whittier Way, Cumming, GA 30040-0722 | 2020-10-29 |
| 1891395380 | Am Pm Assets, Inc. | Home Health | 971 Lanier Ave, Gainesville, GA 30501-1727 | 2020-10-26 |
| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 1811595283 | Rotex Healthcare Services LLC | Home Health | 1847 Canoe Rdg Nw, Kennesaw, GA 30152-6222 | 2020-10-16 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.