PEACHTREE ORTHOPAEDIC CLINIC, PC (NPI# 1114357910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114357910 |
| Entity Type | Organization |
| Organization Name | PEACHTREE ORTHOPAEDIC CLINIC, PC |
| Practice Address |
5505 Peachtree Dunwoody Rd Suite 600-mod E Atlanta GA 30342-1705 |
| Practice Telephone | 4043550743 |
| Mailing Telephone | 4043550743 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MS. MARIA SANDERS (CFO) |
| Authorized Official Telephone | 4043550743 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861822660 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 3870 Pleasant Hill Rd, Suite 1-mod C, Duluth, GA 30096-4807 | 2013-11-15 |
| 1770913576 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 1901 Phoenix Blvd, Suite 200-mod B, College Park, GA 30349-5063 | 2013-11-15 |
| 1215366489 | Peachtree Orthopaedic Clinic, PC | Durable Medical Equipment & Medical Supplies | 1505 Northside Blvd, Suite 3100, Cumming, GA 30041-7623 | 2013-11-07 |
| 1982033155 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 3870 Pleasant Hill Rd, Suite 1-mod B, Duluth, GA 30096-4807 | 2013-11-07 |
| 1861821027 | Peachtree Orthopaedic Clinic, PC | Durable Medical Equipment & Medical Supplies | 1163 Johnson Ferry Rd, Suite 200, Marietta, GA 30068-2764 | 2013-11-07 |
| Street Address |
5505 PEACHTREE DUNWOODY RD SUITE 600-MOD E |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053364166 | Harvey Penfield Cole IIi | Ophthalmology | 5505 Peachtree Dunwoody Rd, Ste 640, Atlanta, GA 30342 | 2006-05-18 |
| 1336769215 | Marylou Kauffman | Registered Nurse | 5505 Peachtree Dunwoody Rd, Atlanta, GA 30342-1705 | 2020-04-21 |
| 1407369200 | Doren Louise Clark | Family Medicine | 5505 Peachtree Dunwoody Rd, Atlanta, GA 30342-1705 | 2017-11-15 |
| 1083078018 | Lauris Taylor Jones Iv | Occupational Therapy Assistant | 5505 Peachtree Dunwoody Rd, Suite 250, Atlanta, GA 30342-1705 | 2016-04-06 |
| 1114387040 | Jc Plastic Surgery of Atlanta, LLC | Surgery | 5505 Peachtree Dunwoody Rd, Suite 220, Atlanta, GA 30342-1705 | 2016-03-04 |
| 1639537384 | Kathrine Walton | Nurse Practitioner | 5505 Peachtree Dunwoody Rd, Suite 600, Atlanta, GA 30342-1705 | 2016-02-09 |
| 1770981763 | Peachtree Dunwoody Oral and Facial Surgery | Dentist | 5505 Peachtree Dunwoody Rd, Suite 660, Atlanta, GA 30342-1705 | 2014-12-08 |
| 1750788105 | Taylor Rae Stone | Physician Assistant | 5505 Peachtree Dunwoody Rd, Suite 412, Atlanta, GA 30342-1758 | 2014-12-01 |
| 1588075014 | Creative Dentistry of Atlanta | Clinic/Center | 5505 Peachtree Dunwoody Rd, Suite 460, Atlanta, GA 30342 | 2014-05-19 |
| 1366875122 | Niloufar Soltanian-moffett | Optometrist | 5505 Peachtree Dunwoody Rd, Suite 300, Atlanta, GA 30342-1705 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1194216697 | 874 Total Pharmacy LLC | Pharmacy | 874 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1829 | 2018-05-21 |
| 1144721531 | Ben Hill Pharmacy Inc. | Pharmacy | 3740 Campbellton Rd Sw, Atlanta, GA 30331-5222 | 2018-02-22 |
| 1487199972 | Cardinal Health 132, LLC | Pharmacy | 424 Decatur Street Ne, Suite 100, Atlanta, GA 30303 | 2016-12-20 |
| 1366991283 | Aids Healthcare Foundation | Pharmacy | 1858 Cheshire Bridge Rd Ne, Atlanta, GA 30324-4945 | 2016-10-04 |
| 1730637562 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Dr Sw, Suite B, Atlanta, GA 30311-5434 | 2016-09-21 |
| 1336543461 | Publix Super Markets Inc | Pharmacy | 2020 Howell Mill Rd Nw Ste A, Atlanta, GA 30318-1732 | 2014-10-17 |
| 1558772400 | Robinson Family Pharmacy LLC | Pharmacy | 213 N Pinecrest Dr, Atlanta, TX 75551-3130 | 2014-05-14 |
| 1811321763 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1100 Lake Hearn Dr Ste 500, Atlanta, GA 30342-1548 | 2013-08-28 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on PEACHTREE ORTHOPAEDIC CLINIC, PC.
| 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.