Aveanna Hospice of Montgomery – Community Based Hospice Care Agency, NPI 1710926159

Aveanna Hospice of Montgomery is a healthcare provider. based in Atlanta, Georgia. specializing in Community Based Hospice Care Agency. The organization holds a License No. 11673 (AL). The NPI Number for Aveanna Hospice of Montgomery is 1710926159

Main info

Organization
Name
Aveanna Hospice of Montgomery
NPI
1710926159
Phone
(470) 464-8000
Address
400 INTERSTATE NORTH PKWY SE STE 1600
Authorized Official
MATTHEW BUCKHALTER CFO
Enumeration Date
4 June 2006
Last Update Date
27 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Aveanna Hospice of Montgomery

  • 400 INTERSTATE NORTH PKWY SE STE 1600

    ATLANTA, GA 303395047

    Phone: (470) 464-8000

    Fax: (888) 269-3065

    Type: Mailing

  • 315 SAINT LUKES DR

    MONTGOMERY, AL 361177109

    Phone: (334) 514-0244

    Fax: (334) 514-0241

    Type: Location

  • 245, Cahaba Valley Parkway, Pelham, Shelby County, Alabama, 35124, United States

    SUITE 200

    PELHAM, AL 35124

    Phone: (205) 942-6820

    Fax: (888) 269-3065

    Type: Mailing

  • Coosa River Parkway, Wetumpka, Elmore County, Alabama, 36092, United States

    WETUMPKA, AL 360925711

    Phone: (334) 514-0244

    Fax: (334) 514-0241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080430000809OHospiceALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30339)

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Reviews

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Frequently asked questions

What federal number belongs to Aveanna Hospice of Montgomery?
The federal identifier for Aveanna Hospice of Montgomery is NPI 1710926159.
Does this profile mean Aveanna Hospice of Montgomery is currently active?
Yes — Aveanna Hospice of Montgomery appears active in the national provider directory.
What does Aveanna Hospice of Montgomery treat or focus on?
Patients typically see Aveanna Hospice of Montgomery under the specialty Community Based Hospice Care Agency. Clinical services aligned with this taxonomy classification.
What location shows for Aveanna Hospice of Montgomery?
We surface Atlanta, Georgia for Aveanna Hospice of Montgomery based on available NPPES addresses.
How can I contact Aveanna Hospice of Montgomery?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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