Individual provider Active NPI

Kevin T Le, DC

  • Chiropractor
  • Peachtree Corners, GA
National Provider Identifier
1851485775
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009736 Issued in GA
Practice address
6050 Peachtree Pkwy Ste 420
Peachtree Corners, GA 30092-3362
Phone
(470) 545-0275
Fax
(470) 246-5961
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X CHIR009736 GA
Chiropractor 111N00000X CHIR009736 GA Primary

Addresses

Primary practice location

6050 Peachtree Pkwy Ste 420
Peachtree Corners, GA 30092-3362

Mailing address

6050 Peachtree Pkwy Ste 420
Peachtree Corners, GA 30092-3362
Phone (470) 726-1699

Other practice location 1

6050 Peachtree Parkway, Ste 420
6050 Peachtree Parkway
Peachtree Corners, GA 30092-3536
Phone (470) 545-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230002307 GA Practitioner - Chiropractic 2961392337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6050 Peachtree Pkwy
Suite 420
Peachtree Corners, GA 30092-3362
Phone (470) 726-1699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009736GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Comfort Medical South LLC CurrentSince Apr 12, 2025 Accepting new patients

Locations

7193 Jonesboro Rd
Ste 101102
Morrow, GA 30260
Phone (470) 726-1699

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1851485775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923362",
            "telephone_number": "470-726-1699",
            "fax_number": "470-726-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923362",
            "telephone_number": "470-545-0275",
            "fax_number": "470-246-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 PEACHTREE PARKWAY, STE 420",
            "address_2": "6050 PEACHTREE PARKWAY",
            "address_purpose": "LOCATION",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923536",
            "country_code": "US",
            "telephone_number": "470-545-0275",
            "fax_number": "470-246-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "CHIR009736",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.