Southern Grace Hospice and Palliative Care
NPI 1124448188ActiveOrganization· Hospice Care, Community Based· McDonough, GA
Hospice Care, Community Based in McDonough, Georgia, registered in NPPES in April 2014. The authorized official on file is Aubrey M. Kekiwi, Ceo. Enrolled in Medicare as part a provider - hospice and part b supplier - clinic/group practice.
Overview
| NPI | 1124448188 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2014 |
| Last updated in NPPES | Sep 18, 2024 |
| Certified by provider | Sep 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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