KULANI SPA & WELLNESS, LLC
NPI 1336925080
Nurse Practitioner - Family in Mcdonough, GA
About Kulani Spa & Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KULANI SPA & WELLNESS, LLC (NPI 1336925080) is a healthcare organization registered as a family in Mcdonough, Georgia and active in the NPI registry since September 2023. The organization lists Sabina Gabrielle Gordon, Owner/provdier, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Kulani Spa & Wellness, 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 Kulani Spa & Wellness, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kulani Spa & Wellness, LLC's NPI number?
The NPI number for Kulani Spa & Wellness, LLC is 1336925080. It was assigned to this organization in the NPPES registry on September 7, 2023.
Where is Kulani Spa & Wellness, LLC located?
Kulani Spa & Wellness, LLC is located at 300 Argento Dr Apt 2101, Mcdonough, GA 30253. The listed phone number is (678) 884-6555.
What is Kulani Spa & Wellness, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kulani Spa & Wellness, LLC enrolled in Medicare?
Yes. Kulani Spa & Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kulani Spa & Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kulani Spa & Wellness, 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 Kulani Spa & Wellness, LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kulani Spa & Wellness, Llc · NPI 1336925080
Family organization in Mcdonough, Georgia. Organization record, active in the CMS NPPES registry since September 7, 2023.
## Identity
- **NPI:** 1336925080 (Entity type: Organization)
- **Enumerated:** September 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Sabina Gordon, OWNER/PROVDIER
## Practice location
- **Address:** 300 ARGENTO DR APT 2101, Mcdonough, GA 30253-5237
- **Phone:** (678) 884-6555 · **Fax:** (678) 826-0772
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336925080) · Data from the CMS NPPES public registry.