SOUTHEAST HOSPICE
NPI 1144600875
Hospice Care, Community Based in Augusta, GA

Active since June 08, 2015CLIA 11D2149820 · Waiver
1203 GEORGE C. WILSON DRIVE SUITE A, AUGUSTA, GA 30909(706) 364-3108(706) 364-3315 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 10, 2017, Feb 3, 2016 (2 updates tracked since 2016).

About Southeast Hospice NPPES

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

SOUTHEAST HOSPICE (NPI 1144600875) is a healthcare organization registered as a hospice care, community based in Augusta, Georgia and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Stuart Prather, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144600875
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSOUTHEAST HOSPICE, LLC,
Location Address1203 GEORGE C. WILSON DRIVE SUITE AAugusta, GA 30909-4502
Mailing Address1203 George C. Wilson Drive Suite AAugusta, GA 30909-4502 · (706) 364-3108 · Fax (706) 364-3315
Fax(706) 364-3315
Organization SubpartNo
Authorized OfficialStuart PratherAdministrator · (706) 364-3108
Enumeration DateJune 8, 2015
Last NPPES UpdateFebruary 10, 20172 updates tracked since enumeration
NPI 1144600875 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 · 121-0416-H
1203 GEORGE C. WILSON DRIVE SUITE A, Augusta, GA 30909

Other Names 1

Doing Business AsSoutheast Hospice

Other Identifiers 2

Medicare OSCAR/certification111769GA
Other121-0416-HGA · Ga Hospice License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2149820

South East Hospice, LLC · Martinez, GA
Active · expires Jun 11, 2028
CLIA Number11D2149820
Laboratory TypeHospice
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorTina Matteo
Laboratory Phone(706) 364-3108
Laboratory LocationSouth East Hospice, LLC3736 Executive Center Drive, Martinez, GA 30907
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Southeast Hospice (CMS certification number 111769), from CMS Care Compare.

Southeast Hospice

Hospice · Martinez, GA
OwnershipFor-Profit
CMS Certification Number111769
CMS RegionRegion 4
Medicare-Certified SinceOctober 30, 2015
Average Daily Census38patients per day on average
Location3736 Executive Center DriveMartinez, GA 30907 · Richmond County
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home64%
Assisted living facility5%
Nursing facility3%
Skilled nursing facility26%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
14%
Patients with dementia
27%
Patients with circulatory or heart disease
13%
Patients with respiratory disease
10%
Patients with stroke
8%
Patients with other conditions
10%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
139 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
139 patient stays
100%
Hospice and Palliative Care Pain Screening
139 patient stays
100%
Hospice and Palliative Care Pain Assessment
59 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
139 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
48 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
23 patient stays
100%
Hospice and Palliative Care Composite Process Measure
139 patient stays
100%
Hospice Visits in the Last Days of Life
202 patient stays
86.1%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 51
56.2%
Early live discharges
National percentile 19
0%
Late live discharges
National percentile 19
27.3%
Burdensome transitions, Type 1
National percentile 76
12.1%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 74
$21,183
Nurse care minutes per routine home care days
National percentile 66
13.8 minutes
Skilled nursing minutes on weekends
National percentile 33
6.6%
Visits near death
National percentile 92
99.1%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

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 Southeast Hospice, LLC,'s NPI number?

The NPI number for Southeast Hospice, LLC, is 1144600875. It was assigned to this organization in the NPPES registry on June 8, 2015. The provider is doing business as Southeast Hospice.

Where is Southeast Hospice, LLC, located?

Southeast Hospice, LLC, is located at 1203 George C. Wilson Drive Suite A, Augusta, GA 30909. The listed phone number is (706) 364-3108.

What is Southeast Hospice, LLC,'s specialty?

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

Does Southeast Hospice, LLC, hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2149820) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Southeast Hospice, LLC, a Medicare-certified hospice?

Yes. Southeast Hospice is a Medicare-certified hospice (CMS certification number 111769), certified since October 30, 2015.

When was this NPI record last updated?

The NPPES record for Southeast Hospice, LLC, was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.