APPALACHIAN HOSPICE SOUTH LLC — NPI 1063193738 (Licensed & Credentialed Agencies — Hospice Care, Community Based in JASPER, GA)

CMS-1500 Box 24J / 33a • NPI

1063193738

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251G00000X (CMS B4[14])

Licensed & Credentialed Agencies — Hospice Care, Community Based

Box 32 Service Location & ZIP+4

377 MOUNTAIN BLVD S STE 102, JASPER, GA, 30143-3175

✓ 9-Digit EDI 837 ZIP+4 (30143-3175)

Practice Phone & Referral Fax

(706) 253-4015

Fax: (706) 253-4021

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063193738 (APPALACHIAN HOSPICE SOUTH LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063193738` (NPI-2 Organization / Facility)
Provider / Legal Name	APPALACHIAN HOSPICE SOUTH LLC
Plain-English Specialty	Licensed & Credentialed Agencies — Hospice Care, Community Based NUCC Code: `251G00000X` (Hospice Care, Community Based)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	377 MOUNTAIN BLVD S STE 102, JASPER, GA, 30143-3175
Practice Telephone / Fax	Tel: (706) 253-4015 \| Fax: (706) 253-4021
Administrative Mailing Address	1346 PAT HARALSON DR, BLAIRSVILLE, GA, 30512-8410
Enumeration & Last Sync	Enumerated: 2023-07-26 \| CMS Record Updated: 2026-11-02
Authorized Official	GARY RASMUSSEN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

377 MOUNTAIN BLVD S STE 102, JASPER, GA, 30143-3175

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Plain-English Taxonomy & CMS Crosswalk (251G00000X)

What Does Taxonomy Code 251G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251G00000X translates to:
"Licensed & Credentialed Agencies — Hospice Care, Community Based"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Hospice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospice Care, Community Based for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (APPALACHIAN HOSPICE SOUTH LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251G00000X` — Hospice Care, Community Based Plain English: Licensed & Credentialed Agencies — Hospice Care, Community Based	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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APPALACHIAN HOSPICE SOUTH LLC (NPI #1063193738)