PEGGY TEAGUE (NPI# 1043371974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043371974 |
| Entity Type | Individual |
| Full Name | PEGGY TEAGUE |
| Practice Address |
1509 Atkinson Rd Suite 1100 Lawrenceville GA 30043-7986 |
| Mailing Address |
1688 Lawrenceville Hwy Lawrenceville GA 30044-4608 |
| Practice Telephone | 7709952379 |
| Practice Fax Number | 7709952385 |
| Mailing Telephone | 7709952379 |
| Mailing Fax Number | 7709952385 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | PT005740 | GA | Other Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT005740 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000765817A | 05 | |
| GA | 10037766 | 05 | |
| GA | 306072 | 05 |
| Street Address |
1509 ATKINSON RD SUITE 1100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-7986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851401731 | Amanda Dizinno | Occupational Therapist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-08-30 |
| 1659795367 | Prelude Counseling Centers Intl., Inc. | Counselor | 1509 Atkinson Rd, Suite 2200, Lawrenceville, GA 30043-7986 | 2014-02-17 |
| 1275965725 | Catherine Oddi Lachance | Physical Therapist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2013-08-07 |
| 1497057111 | Jessica N Cavallo | Occupational Therapist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2010-12-01 |
| 1972735678 | Monee Noel Merriweather | Counselor | 1509 Atkinson Rd, Suite 2200, Lawrenceville, GA 30043-7986 | 2009-08-13 |
| 1013146232 | Erinn Schleicher Williams | Physical Therapist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2009-07-09 |
| 1417084732 | Katherine Haines Steinhofer | Occupational Therapist | 1509 Atkinson Rd, Lawrenceville, GA 30043-7986 | 2007-02-27 |
| 1801959838 | Therapy Works,p.c. | Clinic/Center | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-12-19 |
| 1982767927 | Monica Mangram | Specialist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-12-19 |
| 1770644684 | Leslie Jacobs | Specialist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982809174 | Erin Ashley Cruttenden | Physical Therapist | 545 Old Norcross Road, Suite 100, Lawrenceville, GA 30046-3099 | 2007-06-18 |
| 1861550295 | Carin Ashman | Physical Therapist | 318 West Pike St., Suite 104, Lawrenceville, GA 30045 | 2006-12-05 |
| 1518054279 | Aimee Lynn Eblen | Physical Therapist | 318 W Pike St, Suite 104, Lawrenceville, GA 30045-3234 | 2006-10-06 |
| 1972103869 | Sydney Lewis Askew | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2020-10-29 |
| 1477108439 | Jessika Puglisi | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2019-08-07 |
| 1831643493 | Vivian Albert | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2016-08-11 |
| 1720497043 | Katherine Stroer Benkeser | Physical Therapist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2014-08-12 |
| 1275965725 | Catherine Oddi Lachance | Physical Therapist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2013-08-07 |
| 1922444777 | Julianna Ryan | Physical Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2013-05-20 |
| 1508098120 | Sarah Meyer | Physical Therapist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2009-08-14 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on PEGGY TEAGUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.