EXCELSIS HEALTH LLC
NPI 1770247736
Family Medicine - Obesity Medicine in Marietta, GA

Active since October 26, 2021
711 CANTON RD NE STE 420, MARIETTA, GA 30060(678) 392-3548(833) 992-2064 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Excelsis Health Llc NPPES

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

EXCELSIS HEALTH LLC (NPI 1770247736) is a healthcare organization registered as an obesity medicine in Marietta, Georgia and active in the NPI registry since October 2021. The organization lists Angelina Cain, Owner, as its authorized official.

NPPES Registry Identity

NPI1770247736
Entity TypeOrganization
Primary Taxonomy207QB0002X
Legal Business NameEXCELSIS HEALTH LLC
Location Address711 CANTON RD NE STE 420Marietta, GA 30060-8949
Mailing Address711 Canton Rd Ne Ste 420Marietta, GA 30060-8949 · (678) 392-3548 · Fax (833) 992-2064
Fax(833) 992-2064
Organization SubpartNo
Authorized OfficialAngelina CainOwner · (706) 392-3548
Enumeration DateOctober 26, 2021
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1770247736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
Definition
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
711 CANTON RD NE STE 420, Marietta, GA 30060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211102003113Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Excelsis Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1356543557
711 CANTON RD NE STE 420
Marietta, GA 30060
(678) 392-3548
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275239055
711 CANTON RD NE STE 420
Marietta, GA 30060
(678) 392-3548
✔ PECOSSame address
Nurse Practitioner
NPI 1235728353
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOS3.0 mi
Nurse Practitioner
NPI 1700462801
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 851-8917
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1750034682
1364 CLIFTON RD NE
Atlanta, GA 30322
(404) 712-2000
✔ PECOS18 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 Excelsis Health LLC's NPI number?

The NPI number for Excelsis Health LLC is 1770247736. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Excelsis Health LLC located?

Excelsis Health LLC is located at 711 Canton Rd NE Ste 420, Marietta, GA 30060. The listed phone number is (678) 392-3548.

What is Excelsis Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Is Excelsis Health LLC enrolled in Medicare?

Yes. Excelsis Health LLC is registered in the Medicare PECOS enrollment system.

When is Excelsis Health LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Excelsis Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Excelsis Health 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 Nurse Practitioner (4) and Family Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Excelsis Health LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.