MAGNOLIA COMFORT MEDICAL SOUTH LLC
NPI 1306630801
Clinic/Center - Multi-Specialty in Morrow, GA

Active since April 08, 2025
7193 JONESBORO RD STE 101-102, MORROW, GA 30260(470) 726-1699 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2025, Apr 8, 2025 (2 updates tracked since 2025).

About Magnolia Comfort Medical South Llc NPPES

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

MAGNOLIA COMFORT MEDICAL SOUTH LLC (NPI 1306630801) is a healthcare organization registered as a multi-specialty in Morrow, Georgia and active in the NPI registry since April 2025. The organization lists Kevin Le, Clinic Director / Owner, as its authorized official.

NPPES Registry Identity

NPI1306630801
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMAGNOLIA COMFORT MEDICAL SOUTH LLC
Location Address7193 JONESBORO RD STE 101-102Morrow, GA 30260-2961
Mailing Address7193 Jonesboro Rd Ste 101-102Morrow, GA 30260-2961 · (470) 726-1699
Organization SubpartNo
Authorized OfficialKevin LeClinic Director / Owner · (678) 268-8891
Enumeration DateApril 8, 2025
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1306630801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
7193 JONESBORO RD STE 101-102, Morrow, GA 30260

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)

Magnolia Comfort Medical South Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Comfort Medical South LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1023899853
777 W PEACHTREE ST
Norcross, GA 30071
(770) 246-6100
✔ PECOS27 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 Magnolia Comfort Medical South LLC's NPI number?

The NPI number for Magnolia Comfort Medical South LLC is 1306630801. It was assigned to this organization in the NPPES registry on April 8, 2025.

Where is Magnolia Comfort Medical South LLC located?

Magnolia Comfort Medical South LLC is located at 7193 Jonesboro Rd Ste 101-102, Morrow, GA 30260. The listed phone number is (470) 726-1699.

What is Magnolia Comfort Medical South LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Magnolia Comfort Medical South LLC enrolled in Medicare?

Yes. Magnolia Comfort Medical South LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Comfort Medical South LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Magnolia Comfort Medical South 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Comfort Medical South LLC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.