BETHANY HOSPICE AND PALLIATIVE CARE, LLC – Community Based Hospice Care Agency, NPI 1972709160
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BETHANY HOSPICE AND PALLIATIVE CARE, LLC
2700, North Oak Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States
BUILDING B
VALDOSTA, GA 316021772
Phone: (229) 249-8687
Fax: (229) 249-9282
Type: Mailing
135 GEMINI CIR STE 202
BIRMINGHAM, AL 352095842
Phone: (205) 949-0400
Fax: (205) 949-0405
Type: Mailing
2016 E Pinetree BLVD
Thomasville, GA 31792
Phone: (229) 236-3002
Type: Location
1327 Ocilla Rd
Douglas, GA 315332213
Phone: (912) 384-6100
Fax: (912) 384-5701
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: 2017-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (283 days ago).
Enrollment records
2
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071119000220 | O | Hospice | GA | TBD |
| O20170428001358 | O | Clinic/Group Practice | GA | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 31602)
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