MEDICARE: NEXT STEP UP CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WH1000X	Hospice Registered Nurse
2	207VH0002X	Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
3	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician
4	2279P3800X	Palliative/Hospice Registered Respiratory Therapist
5	2278P3800X	Palliative/Hospice Certified Respiratory Therapist
6	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician
7	2081H0002X	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
8	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
9	2080H0002X	Pediatric Hospice and Palliative Medicine Physician
10	2084H0002X	Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
11	2085H0002X	Hospice and Palliative Medicine (Radiology) Physician
12	315D00000X	Inpatient Hospice
13	2086H0002X	Hospice and Palliative Medicine (Surgery) Physician
14	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1063277952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT STEP UP CORP

Provider Business Mailing Address
First Line	:	4299 SMITH RD
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-2504
Country	:	US
Telephone Number	:	888-334-5966
Fax Number	:	404-678-1626

Provider Business Practice Location Address
First Line	:	350 MASS AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2270
Country	:	US
Telephone Number	:	719-517-6905
Fax Number	:	585-502-1157

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	SHARON A PEART
Credential	:
Telephone Number	:	866-926-0035

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	04/06/2026

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Directions to “NEXT STEP UP CORP ” Practice Location

Language	Start Address	Practice Location

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