HOSPICE OF SOUTH GEORGIA
NPI 1750331401
Hospice Care, Community Based in Valdosta, GA
About Hospice Of South Georgia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOSPICE OF SOUTH GEORGIA (NPI 1750331401) is a healthcare organization registered as a hospice care, community based in Valdosta, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Susan Bowden, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hospice Of South Georgia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hospice Of South Georgia, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D0981473
Hospice Of South Ga · Valdosta, GAHospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Hospice Of South Georgia (CMS certification number 111531), from CMS Care Compare.
Hospice Of South Georgia
Hospice · Valdosta, GACare Settings & Patients
Quality Measures
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 South Georgia Health Alliance Dba Hospice Of South Georgia's NPI number?
The NPI number for South Georgia Health Alliance Dba Hospice Of South Georgia is 1750331401. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Hospice Of South Georgia.
Where is South Georgia Health Alliance Dba Hospice Of South Georgia located?
South Georgia Health Alliance Dba Hospice Of South Georgia is located at 2263 Pineview Dr, Valdosta, GA 31602. The listed phone number is (229) 433-7000.
What is South Georgia Health Alliance Dba Hospice Of South Georgia's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Is South Georgia Health Alliance Dba Hospice Of South Georgia enrolled in Medicare?
Yes. South Georgia Health Alliance Dba Hospice Of South Georgia is registered in the Medicare PECOS enrollment system.
When is South Georgia Health Alliance Dba Hospice Of South Georgia's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, Hospice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Georgia Health Alliance Dba Hospice Of South Georgia?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to South Georgia Health Alliance Dba Hospice Of South Georgia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Georgia Health Alliance Dba Hospice Of South Georgia hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0981473) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is South Georgia Health Alliance Dba Hospice Of South Georgia a Medicare-certified hospice?
Yes. Hospice Of South Georgia is a Medicare-certified hospice (CMS certification number 111531), certified since July 9, 1993.
What insurance does South Georgia Health Alliance Dba Hospice Of South Georgia accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Georgia Health Alliance Dba Hospice Of South Georgia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Georgia Health Alliance Dba Hospice Of South Georgia was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Hospice Of South Georgia · NPI 1750331401
Hospice Care, Community Based organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1750331401 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Legal business name:** South Georgia Health Alliance Dba Hospice Of South Georgia
- **Organization subpart:** Yes (part of South Georgia Health Alliance Dba Hospice Of South Georgia)
- **Authorized official:** Susan Bowden, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 2263 PINEVIEW DR, Valdosta, GA 31602-7316
- **Phone:** (229) 433-7000 · **Fax:** (229) 433-7025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Georgia, Hospice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2019
- **Other identifiers:** Medicaid 000575462A (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1750331401) · Data from the CMS NPPES public registry.