PARK SPRINGS WELLNESS CLINIC
NPI 1962628669
Clinic/Center - Health Service in Stone Mountain, GA
About Park Springs Wellness Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK SPRINGS WELLNESS CLINIC (NPI 1962628669) is a healthcare organization registered as a health service in Stone Mountain, Georgia and active in the NPI registry since April 2007. The organization lists Kevin W Isakson, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Park Springs Wellness Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Park Springs Wellness Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Park Springs, LLC's NPI number?
The NPI number for Park Springs, LLC is 1962628669. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Park Springs Wellness Clinic.
Where is Park Springs, LLC located?
Park Springs, LLC is located at 500 Springhouse Cir, Stone Mountain, GA 30087. The listed phone number is (770) 879-4330.
What is Park Springs, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Park Springs, LLC enrolled in Medicare?
Yes. Park Springs, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Springs, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Park Springs, 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 (3), Family Practice (2) and Geriatric Medicine (1). Of these, 2 practice 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 Park Springs, LLC was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Park Springs Wellness Clinic · NPI 1962628669
Health Service organization in Stone Mountain, Georgia. Organization record, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1962628669 (Entity type: Organization)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Legal business name:** Park Springs, Llc
- **Organization subpart:** No
- **Authorized official:** Kevin Isakson, MANAGING PARTNER
## Practice location
- **Address:** 500 SPRINGHOUSE CIR, Stone Mountain, GA 30087-6718
- **Phone:** (770) 879-4330 · **Fax:** (678) 684-3066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Geriatric Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 6847
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Source: [NPI Profile](https://npiprofile.com/npi/1962628669) · Data from the CMS NPPES public registry.