SOUTHERNCARE, INC. (NPI# 1659319630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659319630 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE MACON |
| Practice Address |
5233 Riverside Drive Suite E Macon GA 31210-1253 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 4784764627 |
| Practice Fax Number | 4784764628 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
| Authorized Official Telephone | 7046642876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 011188H | GA | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 011-188-H | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000886938B | 05 | |
| GA | 00886938B | 05 | |
| GA | STATE LICENSE NUMBER | 011-188-H | 01 |
| Other Name | Type Code |
|---|---|
| SouthernCare Macon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700399672 | Southerncare, Inc. | Hospice Care, Community Based | 203 Bulifants Blvd Ste B, Williamsburg, VA 23188-5742 | 2017-11-14 |
| 1255467676 | Southerncare, Inc. | Hospice Care, Community Based | 2900 100th St, Suite 103, Urbandale, IA 50322-3857 | 2007-02-27 |
| 1750417523 | Southerncare, Inc. | Hospice Care, Community Based | 9250 Highway 17 Byp, Bldg A, Murrells Inlet, SC 29576-6619 | 2007-02-26 |
| 1093741282 | Southerncare, Inc. | Hospice Care, Community Based | 1119 Park Ave Ste 7, Meadville, PA 16335-3107 | 2006-06-23 |
| 1639112410 | Southerncare, Inc. | Hospice Care, Community Based | 501 E Commerce St, Greenville, AL 36037-2313 | 2006-06-13 |
| 1033151550 | Southerncare, Inc. | Hospice Care, Community Based | 420 Neff Avenue, Suite 110, Harrisonburg, VA 22801-5435 | 2006-06-11 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1154362861 | Southerncare, Inc. | Hospice Care, Community Based | 755 Lee St, Suite B, Alexander City, AL 35010-2638 | 2006-06-10 |
| 1205877073 | Southerncare, Inc. | Hospice Care, Community Based | 1240 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-06-10 |
| 1609817311 | Southerncare, Inc. | Hospice Care, Community Based | 12251c Highway 41 N, Evansville, IN 47725-7014 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHERNCARE, INC. | 3536 Vann Rd, Birmingham, AL 35235 |
| Street Address |
5233 RIVERSIDE DRIVE SUITE E |
| City | MACON |
| State | GA |
| Zip Code | 31210-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376093534 | Compassus Op of Georgia II LLC | Hospice Care, Community Based | 1100 Northside Drive, Macon, GA 31210-2280 | 2016-10-11 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1609210491 | Caresouth Hospice, LLC | Hospice Care, Community Based | 1760 Bass Rd Ste 202, Macon, GA 31210 | 2013-04-23 |
| 1003934795 | Ideal Home Care of Ga | Hospice Care, Community Based | 182 Riley Ave Ste F2, Macon, GA 31204-0778 | 2007-03-27 |
| 1609900364 | Optum Palliative and Hospice Care, Inc | Hospice Care, Community Based | 4875 Riverside Dr Ste 104, Macon, GA 31210-1149 | 2007-03-15 |
| 1760557953 | The Medical Center of Central Georgia Inc. | Hospice Care, Community Based | 6261 Peake Road, Macon, GA 31210-8074 | 2006-11-22 |
| 1235177205 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 6060 Lakeside Commons Dr, Macon, GA 31210-5778 | 2006-06-03 |
| 1912968355 | Hillcrest Hospice, Inc | Hospice Care, Community Based | 115 Arkwright Lndg, Macon, GA 31210-1364 | 2006-03-28 |
| 1639177397 | Hospice Care Options Inc | Hospice Care, Community Based | 486 New St, Macon, GA 31201 | 2005-07-07 |
| 1255417432 | Jackson Lake Hospice Inc | Hospice Care, Community Based | 128 Brandon Way, Macon, GA 31210 | 2006-10-31 |
| Find all providers in MACON | ||||
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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.