Mga, LLC
Mga, LLC is a healthcare organization registered as Skilled Nursing Facility in Marietta, GA, holding Type 2 (organization) NPI 1215135041 since 2007. The authorized official on file is Paul Walczak, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215135041 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mga, LLC |
| Practice address | 811 KENNESAW AVE NW, Marietta, GA, 30060 |
| Phone | 7704222451 |
| Fax | 7704260462 |
| Enumeration date | 2007-07-03 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Paul Walczak |
|---|---|
| Title | Ceo |
| Phone | 5616270664 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 1-033-1720 | GA |
Copy-ready billing details
Provider: Mga, LLC NPI: 1215135041 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 811 KENNESAW AVE NW, Marietta, GA, 30060
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013907054 | Trina Cain | Individual | Nurse Practitioner | Marietta, GA |
| 1114118288 | Lp Marietta LLC | Organization | Skilled Nursing Facility | Marietta, GA |
| 1922339837 | Boella Enterprises,LLC | Organization | Family Nurse Practitioner | Marietta, GA |
| 1114212115 | Tiwalade Olawuyi | Individual | Family Nurse Practitioner | Marietta, GA |
| 1053759936 | Signature Healthcare LLC | Organization | Skilled Nursing Facility | Marietta, GA |
| 1699494104 | Marietta Ga Opco LLC | Organization | Skilled Nursing Facility | Marietta, GA |
| 1528741436 | Haika Kisamo | Individual | Primary Care Nurse Practitioner | Marietta, GA |
Verify this record
Cross-check NPI 1215135041 against the authoritative CMS record: view Mga, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Mga, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.