Active NPI
Parkside at Ivy Ridge LLC
- Skilled Nursing Facility
- Alpharetta, GA
National Provider Identifier
1285513150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2331423 | Parkside at Ivy Ridge LLC | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.