NPIMap

Organization Active NPI

PT Hills Place Terraces LLC

Doing business as The Terraces at Peachtree Hills Place

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1881222701
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PT HILLS PLACE TERRACES LLC
Doing business as
The Terraces at Peachtree Hills Place
Practice address
229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411
Phone
(678) 619-5600
Fax
(678) 619-3211
NPI assigned
Mar 27, 2020
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Kevin W Isakson
Title
Member
Phone
(404) 941-1329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411

Mailing address

229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411
Phone (404) 467-4900

Other names 1

  • The Terraces at Peachtree Hills Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200625000218 GA Part A Provider - Skilled Nursing Facility 5597196436 Practice locations: Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881222701. Details of each certification follow.

Skilled nursing facility certification: CCN 115773

Legal name
PT HILLS PLACE TERRACES LLC
Doing business as
THE TERRACES AT PEACHTREE HILLS PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 25, 2021
Last certification
Apr 24, 2025
Beds
25
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 14, 2016 in GA
Enrollment address
229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411
Nursing home name
TERRACES AT PEACHTREE HILLS PLACE, THE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Terraces at Peachtree Hills Place, theCCN 115773 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Feb 25, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2516.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
PT Hills Place Terraces LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Atlanta, GA LLC, For-profit Adp of the SNF Feb 25, 2021
Kevin Isakson Individual Corporate Officer Mar 14, 2016
Managing Control - Governing BodyLLC Manager Mar 14, 2016
Indirect Ownership Interest Mar 14, 2016 15%
Organization, MC Lean, VA LLC, For-profit Adp of the SNF May 6, 2025
Organization, Tampa, FL LLC, For-profit Adp of the SNF Feb 25, 2021
Organization, New York, NY Corporation, For-profit Adp of the SNF Feb 25, 2021
David Wahn Individual Corporate OfficerCfo Mar 14, 2016
Indirect Ownership Interest Mar 14, 2016 10%
Organization, Orlando, FL LLC, For-profit Adp of the SNF Jan 1, 2022
Angela D Daugherty Individual Operational/Managerial Control Jan 3, 2024
Adp of the SNF May 6, 2025
Ann Marie Hughes Individual Indirect Ownership Interest Mar 14, 2016 5%
Organization, Atlanta, GA Corporation, For-profit Adp of the SNF Apr 15, 2025
Brian Thomas Individual Indirect Ownership Interest Mar 14, 2016 5%
Isakson Living, Inc. Organization, Marietta, GA Corporation, Management services company, For-profit Operational/Managerial Control Oct 6, 2017
Adp of the SNF Oct 6, 2017
Organization, Atlanta, GA LLC Adp of the SNF Apr 15, 2025
Gregory Heath Individual Corporate OfficerVice President of Health Services Jul 17, 2023
Khurram Khan Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF May 6, 2025
PT Hills Place Club LLC Organization, Marietta, GA LLC, For-profit, Owned by another organization or individual Direct Ownership Interest Mar 14, 2020 100%
Theresa Keppen Individual Operational/Managerial Control Jul 18, 2022
Adp of the SNF Jul 18, 2022
Organization, Atlanta, GA For-profit Adp of the SNF Feb 25, 2021
Organization, Atlanta, GA LLC, For-profit Adp of the SNF Feb 25, 2021
Mark Berger Individual Operational/Managerial Control Jan 3, 2023
Adp of the SNF Jan 3, 2023
Organization, Atlanta, GA LLC, For-profit Adp of the SNF Feb 25, 2021
Organization, Atlanta, GA Holding company, For-profit Adp of the SNF Feb 25, 2021
Edwin Isakson Individual Corporate Officer Mar 14, 2016
Managing Control - Governing BodyLLC Manager Mar 14, 2016
Indirect Ownership Interest Mar 14, 2016 65%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Park Springs, LLC

    dba Pebblebrook Health Center at Park Springs

    • Skilled Nursing Facility
    • Stone Mountain, GA
    • NPI 1184605693

    Isakson Living, Inc.

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1881222701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PEACHTREE HILLS AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054411",
            "telephone_number": "404-467-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PEACHTREE HILLS AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054411",
            "telephone_number": "678-619-5600",
            "fax_number": "678-619-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT HILLS PLACE TERRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "ISAKSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-941-1329"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terraces at Peachtree Hills Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.