SUCCESS BRAND LLC
NPI 1255077061
Counselor - Mental Health in Franklin, GA

Active since May 05, 2022
11630 GA-100, FRANKLIN, GA 30217(404) 466-2050 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2023, May 5, 2022 (2 updates tracked since 2022).

About Success Brand Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUCCESS BRAND LLC (NPI 1255077061) is a healthcare organization registered as a mental health in Franklin, Georgia and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Atlanta and lists John Kennebrew, Owner, as its authorized official.

NPPES Registry Identity

NPI1255077061
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSUCCESS BRAND LLC
Location Address11630 GA-100Franklin, GA 30217
Mailing Address931 Monroe Dr Ne Ste AAtlanta, GA 30308-1793 · (404) 466-2050 · Fax (478) 779-1175
Organization SubpartNo
Authorized OfficialJohn KennebrewOwner · (404) 466-2050
Enumeration DateMay 5, 2022
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1255077061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
11630 GA-100, Franklin, GA 30217

Secondary Practice Location 1

Location 1931 Monroe Dr NE Ste AAtlanta, GA 30308-1793 · Phone (404) 466-2050 · Fax (478) 779-1175

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Success Brand Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Success Brand LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Mental Health Counselor
NPI 1295121606
249 TEMPLE AVE STE 263
Newnan, GA 30263
(770) 282-4492
✔ PECOS19 mi
Clinical Social Worker
NPI 1427819309
110 GARDEN LAKE DR
Riverdale, GA 30296
(678) 250-3080
✔ PECOS44 mi
Mental Health Counselor
NPI 1902812886
215 LAKEWOOD WAY SW
Atlanta, GA 30315
(404) 762-3650
✔ PECOS50 mi
Mental Health Counselor
NPI 1891492864
2621 OLDE IVY LN
Conyers, GA 30094
(404) 617-9613
✔ PECOS65 mi

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 Success Brand LLC's NPI number?

The NPI number for Success Brand LLC is 1255077061. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Success Brand LLC located?

Success Brand LLC is located at 11630 Ga-100, Franklin, GA 30217. The listed phone number is (404) 466-2050.

What is Success Brand LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Success Brand LLC enrolled in Medicare?

Yes. Success Brand LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Success Brand LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Success Brand LLC. 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. The largest specialties are Mental Health Counselor (3) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Success Brand LLC was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.