Organization Active NPI

Parkside at Ivy Ridge LLC

  • Skilled Nursing Facility
  • Alpharetta, GA
National Provider Identifier
1285513150
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKSIDE AT IVY RIDGE LLC
Practice address
2950 Old Alabama Rd
Alpharetta, GA 30022-8595
Phone
(770) 475-6622
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Michael V Feist
Title
Member of LLC
Phone
(631) 525-6693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2950 Old Alabama Rd
Alpharetta, GA 30022-8595

Mailing address

2950 Old Alabama Rd
Alpharetta, GA 30022-8595
Phone (770) 475-6622

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2331423Parkside at Ivy Ridge LLC2950 Old Alabama Road, Alpharetta, GA 30022Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1285513150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 OLD ALABAMA RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228595",
            "telephone_number": "770-475-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 OLD ALABAMA RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228595",
            "telephone_number": "770-475-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE AT IVY RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "FEIST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "631-525-6693"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.