HERITAGE CARE PLACE LLC
NPI 1124874425
Counselor - Professional in Stockbridge, GA
About Heritage Care Place Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE CARE PLACE LLC (NPI 1124874425) is a healthcare organization registered as a professional in Stockbridge, Georgia and active in the NPI registry since April 2024. The organization lists Victor Akinola, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heritage Care Place Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Heritage Care Place LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heritage Care Place LLC's NPI number?
The NPI number for Heritage Care Place LLC is 1124874425. It was assigned to this organization in the NPPES registry on April 26, 2024.
Where is Heritage Care Place LLC located?
Heritage Care Place LLC is located at 135 Eagles Walk Ste 100, Stockbridge, GA 30281. The listed phone number is (470) 726-4147.
What is Heritage Care Place LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Heritage Care Place LLC enrolled in Medicare?
Yes. Heritage Care Place LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heritage Care Place LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Heritage Care Place LLC, in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner, Psychiatry and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heritage Care Place LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heritage Care Place Llc · NPI 1124874425
Professional organization in Stockbridge, Georgia. Organization record, active in the CMS NPPES registry since April 26, 2024.
## Identity
- **NPI:** 1124874425 (Entity type: Organization)
- **Enumerated:** April 26, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Victor Akinola, OWNER
## Practice location
- **Address:** 135 EAGLES WALK STE 100, Stockbridge, GA 30281-7205
- **Phone:** (470) 726-4147
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124874425) · Data from the CMS NPPES public registry.