MAGNOLIA COMFORT MEDICAL SOUTH LLC – Multi-Specialty Clinic/Center, NPI 1306630801

MAGNOLIA COMFORT MEDICAL SOUTH LLC is a healthcare provider. based in Morrow, Georgia. specializing in Multi-Specialty Clinic/Center. The NPI Number for MAGNOLIA COMFORT MEDICAL SOUTH LLC is 1306630801

Main info

Organization
Name
MAGNOLIA COMFORT MEDICAL SOUTH LLC
NPI
1306630801
Phone
(470) 726-1699
Address
7193 JONESBORO RD STE 101-102
Authorized Official
KEVIN LE CLINIC DIRECTOR / OWNER
Enumeration Date
8 April 2025
Last Update Date
11 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience22
Completeness85
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for MAGNOLIA COMFORT MEDICAL SOUTH LLC

  • 7193 JONESBORO RD STE 101-102

    MORROW, GA 302602961

    Phone: (470) 726-1699

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250519002963OClinic/Group PracticeGATBD
O20260114003676ONurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30260)

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Reviews

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Frequently asked questions

What NPI should I save for MAGNOLIA COMFORT MEDICAL SOUTH LLC?
Save NPI 1306630801 if you need a stable reference for MAGNOLIA COMFORT MEDICAL SOUTH LLC.
Is MAGNOLIA COMFORT MEDICAL SOUTH LLC currently active in the NPI registry?
CMS-published data lists MAGNOLIA COMFORT MEDICAL SOUTH LLC as an active registrant.
What field does MAGNOLIA COMFORT MEDICAL SOUTH LLC work in?
You can think of MAGNOLIA COMFORT MEDICAL SOUTH LLC as practicing within Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for MAGNOLIA COMFORT MEDICAL SOUTH LLC?
The page summarizes Morrow, Georgia for MAGNOLIA COMFORT MEDICAL SOUTH LLC; expand the address list for detail.
How can I contact MAGNOLIA COMFORT MEDICAL SOUTH LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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