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REGENCY HOSPICE OF NORTHEAST GEORGIA
NPI 1073561130
Hospice Care, Community Based in Kennesaw, GA

Active since May 04, 2006
4255 WADE GREEN RD NW, STE 210, KENNESAW, GA 30144(770) 382-7175(770) 382-4927 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Regency Hospice Of Northeast Georgia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENCY HOSPICE OF NORTHEAST GEORGIA (NPI 1073561130) is a healthcare organization registered as a hospice care, community based in Kennesaw, Georgia and active in the NPI registry since May 2006. The organization lists Jessica Kleberg, Vp Of Legal Affairs, as its authorized official.

NPPES Registry Identity

NPI1073561130
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameREGENCY HOSPICE OF GEORGIA, LLC
Location Address4255 WADE GREEN RD NW, STE 210Kennesaw, GA 30144-1762
Mailing Address655 Brawley School Rd, Suite 200Mooresville, NC 28117-9125 · (704) 664-2876 · Fax (704) 664-1306
Phone(770) 382-7175
Fax(770) 382-4927
Organization SubpartNo
Authorized OfficialJessica KlebergVp Of Legal Affairs · (704) 664-2876
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1073561130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in GA · 008-191-H
4255 WADE GREEN RD NW, Kennesaw, GA 30144
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Other Names 1

Doing Business AsRegency Hospice Of Northeast Georgia

Other Identifiers 2

Medicaid000457509AGA
Medicare PIN11-1604GA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMEDISYS GEORGIA LLC
Home Health
4255 WADE GREEN RD NW, BUILDING 300, SUITE 310
KENNESAW, GA 30144
Cobb County (770) 424-3595
MS. GIANNA G MARTINI-JAMES LCSW
Social Worker (Clinical)
4255 WADE GREEN RD NW, SUITE414
KENNESAW, GA 30144
Cobb County (678) 213-2194
CELENA KEMP LPC
Counselor (Professional)
4255 WADE GREEN RD NW
KENNESAW, GA 30144
Cobb County (678) 213-2194
MISTY-LEE K MARTIN MA, LPC
Counselor (Professional)
4255 WADE GREEN RD NW
KENNESAW, GA 30144
Cobb County (678) 213-2194
AMY HAMILTON
Community/Behavioral Health
4255 WADE GREEN RD NW, SUITE 414
KENNESAW, GA 30144
Cobb County (678) 213-2194
VALERIE BRANNON ALUISY PT
Specialist
4255 WADE GREEN RD NW
KENNESAW, GA 30144
Cobb County (770) 843-9788
ELIZABETH NEWTON PSYD
Psychologist (Clinical)
4255 WADE GREEN RD NW, STE 414
KENNESAW, GA 30144
Cobb County (678) 213-2194
KRISTIN SARAH CHAPMAN MS, LMFT
Marriage & Family Therapist
4255 WADE GREEN RD NW, STE. 414
KENNESAW, GA 30144
Cobb County (678) 213-2194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regency Hospice Of Georgia, LLC's NPI number?

The NPI number for Regency Hospice Of Georgia, LLC is 1073561130. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Regency Hospice Of Northeast Georgia.

Where is Regency Hospice Of Georgia, LLC located?

Regency Hospice Of Georgia, LLC is located at 4255 Wade Green Rd NW Ste 210, Kennesaw, GA 30144. The listed phone number is (770) 382-7175.

What is Regency Hospice Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Regency Hospice Of Georgia, LLC was last updated on May 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.