OrganizationActiveAccepts Medicare
Southeast Hospice, LLC,
NPI 1144600875 · Community Based Hospice Care Agency · Augusta, GA
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1144600875
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Stuart Prather, Administrator(706) 364-3108
- License
- 121-0416-H (GA)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1203 George C. Wilson Drive Suite a
Augusta, GA 30909-4502
Phone: (706) 364-3108
Fax: (706) 364-3315
Street-level locationGet directions
Mailing address
1203 George C. Wilson Drive Suite a
Augusta, GA 30909-4502
Other names (DBA / former)
- Doing business as
- Southeast Hospice
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2017-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.