HOSPICE OF SOUTH GEORGIA
NPI 1750331401
Hospice Care, Community Based in Valdosta, GA

NPI Status: Active since May 12, 2006

Contact Information

2263 PINEVIEW DR
VALDOSTA, GA
ZIP 31602
Phone: (229) 433-7000
Fax: (229) 433-7025

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 11D0981473
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 12-27-2026

About HOSPICE OF SOUTH GEORGIA

This page provides the complete NPI Profile along with additional information for Hospice Of South Georgia, a provider established in Valdosta, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1750331401 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 092031H (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Hospice Of South Georgia. The authorized official of this NPI record is Mrs. Susan Bowden (Executive Director)

NPI
1750331401
Provider Legal Name
SOUTH GEORGIA HEALTH ALLIANCE DBA HOSPICE OF SOUTH GEORGIA
Other Organization Name
HOSPICE OF SOUTH GEORGIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2263 PINEVIEW DR VALDOSTA, GA 31602
Location Phone
(229) 433-7000
Location Fax
(229) 433-7025
Mailing Address
2263 PINEVIEW DR VALDOSTA, GA 31602
Mailing Phone
(229) 433-7000
Mailing Fax
(229) 433-7025
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-12-2006
Last Update Date
10-07-2019
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According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 07-09-1993 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
092031H
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SUSAN BOWDEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(229) 433-7000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000575462AMEDICAID (05)GA 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)111531
Ownership TypeNon-Profit
Medicare Certification Date07-09-1993
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
100.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
22
Care Provided in Home
Percentage of days patients received care in home
69
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
3
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Number of patients is too small to report.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
Not Available - Number of patients is too small to report.
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
3
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
99.8
Hospice and Palliative Care Pain Assessment
Facility observed rate
79.8
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.8
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
100.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
91.5
Hospice Visits in the Last Days of Life
511
Hospice Visits in the Last Days of Life
Facility observed rate
54.0
Hospice Care Index Overall Score
Facility observed rate
9.0
CHC/GIP provided (% days)
68,413
CHC/GIP provided (% days)
Facility observed rate
1.6
CHC/GIP provided (% days)
91
Gaps in nursing visits (% elections)
416
Gaps in nursing visits (% elections)
Facility observed rate
57.2
Gaps in nursing visits (% elections)
53
Early live discharges (% live discharges)
82
Early live discharges (% live discharges)
Facility observed rate
8.5
Early live discharges (% live discharges)
68
Late live discharges (% live discharges)
82
Late live discharges (% live discharges)
Facility observed rate
37.8
Late live discharges (% live discharges)
45
Burdensome transitions, Type 1(% live discharges)
82
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
18.3
Burdensome transitions, Type 1 (% live discharges)
92
Burdensome transitions, Type 2(% live discharges)
82
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
3.7
Burdensome transitions, Type 2 (% live discharges)
81
Per-beneficiary spending (U.S. dollars $)
916
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
12,995
Per-beneficiary spending (U.S. dollars $)
28
Nurse care minutes per routine home care days (minutes)
65,610
Nurse care minutes per routine home care days (minutes)
Facility observed rate
31.4
Nurse care minutes per routine home care days (minutes)
99
Skilled nursing minutes on weekends (% minutes)
2,062,350
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
19.5
Skilled nursing minutes on weekends (% minutes)
95
Visits near death (% decedents)
756
Visits near death (% decedents)
Facility observed rate
91.3
Visits near death (% decedents)
39
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
27
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
11
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
27
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
3
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
10
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
7
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0981473
Facility Type
Hospice
Certificate Effective Date
December 28, 2024
Certificate Expiration Date
December 27, 2026
Laboratory Director
SUSAN B. CHERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hospice Of South Georgia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750331401
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710063240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 3 + 2 + 4 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1750331401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104382092 MEREDITH EMILY DECESARE NP-C
Individual
Nurse Practitioner2263 PINEVIEW DR
VALDOSTA, GA 31602
(229) 433-7000
1619674272 RACHAEL LAUREN LUSTFELDT LCSW
Individual
Social Worker (Clinical)2263 PINEVIEW DR
VALDOSTA, GA 31602
(229) 433-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750331401, enumerated in the NPI registry as an "organization" on May 12, 2006

The provider is located at 2263 Pineview Dr Valdosta, Ga 31602 and the phone number is (229) 433-7000

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D0981473 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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