NPI age
19 years
Enumerated 2006-10-31
● Active Type 2 · Organization
Jackson Lake Hospice Inc
Jackson Lake Hospice Inc is 1 of 591 hospice care, community based organizations in Georgia.
Primary specialty
Hospice Care, Community Based
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Henson
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 591 active hospice care, community based providers in Georgia.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
128 Brandon Way
MacOn, GA 31210
Mailing address
Po Box 1927
Jackson, GA 302330037
Authorized official
Michael Keith Henson
Ceo
📞 7703059393
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Jackson Lake Hospice
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.