MARMALADE PALLATIVE HEALTH LLC
NPI 1396624979
Family Medicine - Hospice and Palliative Medicine in Social Circle, GA

NPI Status: Active since August 28, 2025

Contact Information

215 AZALEA CT
SOCIAL CIRCLE, GA
ZIP 30025
Phone: (770) 464-5858

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  • Organization
  • Family Medicine
  • Hospice and Palliative Medicine

About MARMALADE PALLATIVE HEALTH LLC

This page provides the complete NPI Profile along with additional information for Marmalade Pallative Health Llc, a provider established in Social Circle, Georgia operating as a Family Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1396624979 assigned on August 2025. The practitioner's primary taxonomy code is 207QH0002X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Ellen T Petry Rn (Administrator)

NPI
1396624979
Provider Name
MARMALADE PALLATIVE HEALTH LLC
Entity Type
Organization
Location Address
215 AZALEA CT SOCIAL CIRCLE, GA 30025
Location Phone
(770) 464-5858
Mailing Address
215 AZALEA CT SOCIAL CIRCLE, GA 30025
Mailing Phone
(770) 464-5858
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2025
Last Update Date
09-26-2025
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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

Family Medicine Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. ELLEN T PETRY RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(770) 464-5858

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396624979, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 6 → 12 → 3 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 2 + 2 + 8 + 9 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1396624979.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
215 AZALEA CT
SOCIAL CIRCLE, GA 30025
Hospice, Inpatient
215 AZALEA CT
SOCIAL CIRCLE, GA 30025
Family Medicine (Hospice and Palliative Medicine)
215 AZALEA CT
SOCIAL CIRCLE, GA 30025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396624979, enumerated as an "organization" on August 28, 2025.

The provider is located at 215 AZALEA CT SOCIAL CIRCLE, GA 30025 and the phone number is (770) 464-5858.

Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.