PARKSIDE AT IVY RIDGE LLC
NPI 1285513150
Skilled Nursing Facility in Alpharetta, GA

Active since August 27, 2025CLIA 11D2331423 · Waiver
2950 OLD ALABAMA RD, ALPHARETTA, GA 30022(770) 475-6622 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Parkside At Ivy Ridge Llc NPPES

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

PARKSIDE AT IVY RIDGE LLC (NPI 1285513150) is a healthcare organization registered as a skilled nursing facility in Alpharetta, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Michael V Feist, Member Of Llc, as its authorized official.

NPPES Registry Identity

NPI1285513150
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePARKSIDE AT IVY RIDGE LLC
Location Address2950 OLD ALABAMA RDAlpharetta, GA 30022-8595
Mailing Address2950 Old Alabama RdAlpharetta, GA 30022-8595 · (770) 475-6622
Organization SubpartNo
Authorized OfficialMichael V FeistMember Of Llc · (631) 525-6693
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1285513150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2950 OLD ALABAMA RD, Alpharetta, GA 30022

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2331423

Parkside At Ivy Ridge LLC · Alpharetta, GA
Active · expires Sep 30, 2027
CLIA Number11D2331423
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorSheri Diane Krause
Laboratory Phone(706) 535-5485
Laboratory LocationParkside At Ivy Ridge LLC2950 Old Alabama Road, Alpharetta, GA 30022
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2950 OLD ALABAMA RD
ALPHARETTA, GA 30022
Occupational Therapist
2950 OLD ALABAMA RD
ALPHARETTA, GA 30022

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 Parkside At Ivy Ridge LLC's NPI number?

The NPI number for Parkside At Ivy Ridge LLC is 1285513150. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Parkside At Ivy Ridge LLC located?

Parkside At Ivy Ridge LLC is located at 2950 Old Alabama Rd, Alpharetta, GA 30022. The listed phone number is (770) 475-6622.

What is Parkside At Ivy Ridge LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Parkside At Ivy Ridge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2331423) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkside At Ivy Ridge LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.