# COMPASSUS OP OF GEORGIA II LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Compassus Hospice and Palliative Care - Macon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053877993
- **Authorized official:** RUSSELL ADKINS (SVP GENERAL COUNSEL)
- **Authorized official phone:** (615) 309-5668

## Contact information

- **Practice address:** 1000 NORTHSIDE XING, MACON, GA 31210-2278
- **Practice address phone:** (770) 218-1997
- **Practice address fax:** (770) 218-1075
- **Mailing address:** 10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
- **Mailing address phone:** (615) 377-7022
- **Mailing address fax:** (615) 373-4457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/15/2019
- **Last updated:** 03/22/2019