Magnolia Comfort Medical LLC
Clinic/Center, Multi-Specialty in Peachtree Corners, GA. Organization (NPI-2).
NPI number1154940906
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1154940906
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Comfort Medical LLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2020
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 208D00000X | General Practice | – | – |
Other names
- Magnolia Comfort Chiropractic LLC (Former Legal Business Name)
Practice location
6050 Peachtree Parkway, Ste 420Peachtree Corners, GA 30092-3336
Phone 470-545-0275 · Fax 470-246-5961
Mailing address
6050 Peachtree Parkway, Ste 420Peachtree Corners, GA 30092-3336
Phone 470-545-0275 · Fax 470-246-5961
Authorized official
Kevin T Le
Owner
4705450275
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