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AT HOME PALLIATIVE CARE, LLC
NPI 1790406148
Family Medicine - Hospice and Palliative Medicine in Jacksonville, FL

Active since September 05, 2022
263 RIVER HILLS DR STE 3, JACKSONVILLE, FL 32216(904) 222-2273(904) 902-8227 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2025, Sep 5, 2022 (2 updates tracked since 2022).

About At Home Palliative Care, Llc NPPES

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

AT HOME PALLIATIVE CARE, LLC (NPI 1790406148), doing business as At Home Primary Care Of Georgia, Llc, is a healthcare organization registered as a hospice and palliative medicine in Jacksonville, Florida and active in the NPI registry since September 2022. The organization maintains 3 additional practice locations and lists Crystal Ciszek, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790406148
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameAT HOME PALLIATIVE CARE, LLC
Location Address263 RIVER HILLS DR STE 3Jacksonville, FL 32216-8980
Mailing Address463688 State Road 200, Ste 1, #364Yulee, FL 32097 · (478) 290-0677
Phone(904) 222-2273
Fax(904) 902-8227
Organization SubpartNo
Authorized OfficialCrystal CiszekCeo · (478) 290-0677
Enumeration DateSeptember 5, 2022
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1790406148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
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.
263 RIVER HILLS DR STE 3, Jacksonville, FL 32216
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Other Names 2

Doing Business AsAt Home Primary Care Of Georgia, Llc
Doing Business AsAt Home Palliative Care

Secondary Practice Locations 3

Location 110752 Deerwood Park Blvd Ste 100Jacksonville, FL 32256-4846 · Phone (478) 290-0677
Location 21601 Hwy 40 E Ste M-151Kingsland, GA 31548-6500 · Phone (904) 222-2273 · Fax (904) 902-8227
Location 31000 Vintage Brunswick Cir Ste 1Brunswick, GA 31525-1217 · Phone (904) 222-2273 · Fax (904) 902-8227

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

At Home Palliative Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to At Home Palliative Care, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

James Corley, M.D.
Internal Medicine
NPI 1720512072
263 RIVER HILLS DR STE 3
Jacksonville, FL 32216
(904) 222-2272
✔ PECOS✔ Accepts MedicareSame address
Ewelina Usuga, APRN
Nurse Practitioner
NPI 1740085620
263 RIVER HILLS DR STE 3
Jacksonville, FL 32216
(904) 222-2273
✔ PECOSSame address
Crystal Ciszek, FNP
Nurse Practitioner
NPI 1124486089
10752 DEERWOOD PARK BLVD STE 100
Jacksonville, FL 32256
(478) 290-0677
✔ PECOS✔ Accepts Medicare6.0 mi
Kelly Traylor
Nurse Practitioner
NPI 1710341557
4266 SUNBEAM RD
Jacksonville, FL 32257
(904) 407-7710
✔ PECOS✔ Accepts Medicare7.4 mi
Edisa Karajic, FNP
Nurse Practitioner
NPI 1235909714
8876 A C SKINNER PKWY UNIT 4505
Jacksonville, FL 32256
(314) 596-6346
✔ PECOS7.6 mi
Chanel Scott, APRN
Nurse Practitioner
NPI 1053093138
1398 LINDSEYS CROSSING DR
Jacksonville, FL 32218
(904) 534-3014
✔ PECOS11 mi
Shauntile Anderson, NP
Nurse Practitioner
NPI 1316640238
1007 MARY ST
Waycross, GA 31503
(912) 449-7111
✔ PECOS✔ Accepts Medicare77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 At Home Palliative Care, LLC's NPI number?

The NPI number for At Home Palliative Care, LLC is 1790406148. It was assigned to this organization in the NPPES registry on September 5, 2022. The provider is doing business as At Home Primary Care Of Georgia, LLC and At Home Palliative Care.

Where is At Home Palliative Care, LLC located?

At Home Palliative Care, LLC is located at 263 River Hills Dr Ste 3, Jacksonville, FL 32216. The listed phone number is (904) 222-2273.

What is At Home Palliative Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is At Home Palliative Care, LLC enrolled in Medicare?

Yes. At Home Palliative Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through At Home Palliative Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to At Home Palliative Care, LLC. 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. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for At Home Palliative Care, LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.