Magnolia Comfort Medical LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MAGNOLIA COMFORT MEDICAL LLC

Practice address

6050 Peachtree Parkway, Ste 420
Peachtree Corners, GA 30092-3336

Phone

(470) 545-0275

Fax

(470) 246-5961

NPI assigned

Apr 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin T Le, DCNPI 1851485775

Title

Owner

Phone

(470) 545-0275

Specialties & licenses 3

Addresses

Other names 1

• Magnolia Comfort Chiropractic LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin T Le, DC

  • Chiropractor
  • Peachtree Corners, GA
  • NPI 1851485775
  Medicare reassignment Authorized official
• Tong Wang

  • Nurse Practitioner
  • Norcross, GA
  • NPI 1023899853
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1154940906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PARKWAY, STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923336",
            "telephone_number": "470-545-0275",
            "fax_number": "470-246-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PARKWAY, STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923336",
            "telephone_number": "470-545-0275",
            "fax_number": "470-246-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COMFORT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-12",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-545-0275",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Comfort Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachael Marie Lovett, CNP
• Emily Luna
• Youqun Luo, DPT
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• Maria Carolina Lyon Errazuriz, RN
• Linisha Ashwin Kumar Mahida
• Carlos Maisonet
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• Mia Nora Maldonado
• Jeffrey Michael Malucci, D.C.

• Multi-Specialty Clinic/Center in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.