CHARLES FINK PEEBLES (NPI# 1184684862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184684862 |
| Entity Type | Individual |
| Full Name | CHARLES FINK PEEBLES |
| Credential | DPM |
| Practice Address |
5600 Roswell Rd Ne Suite M-190 Atlanta GA 30342-1150 |
| Practice Telephone | 4042559131 |
| Mailing Telephone | 4042559131 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2008-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
POD000796 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000796 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 160059112A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650904 | Charles Alexander Peebles | Surgery | University of North Dakota Smhs Department of Surgery, 1301 N Columbia Road, Stop 9037, Grand Forks, ND 58202-9037 | 2019-06-28 |
| Street Address |
5600 ROSWELL RD NE SUITE M-190 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529479 | Perry Howard Julien | Podiatrist | 5600 Roswell Rd Ne, Suite M-190, Atlanta, GA 30342-1150 | 2005-12-20 |
| 1821267147 | Perry H. Julien, D.p.m. | Podiatrist | 5600 Roswell Rd Ne, Suite M-190, Atlanta, GA 30342-1150 | 2008-02-21 |
| 1043325137 | Stephen R. Muecke | Dentist | 5600 Roswell Rd Ne, Suite 100e, Atlanta, GA 30342-1150 | 2006-08-20 |
| 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 | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529479 | Perry Howard Julien | Podiatrist | 5600 Roswell Rd Ne, Suite M-190, Atlanta, GA 30342-1150 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770004715 | Renee Boudreaux | Podiatrist | 1501 Mercer University Dr, Macon, GA 31207 | 2017-06-29 |
| 1437186012 | Edward Francis Szabo | Podiatrist | 1120 15th Street, Augusta, GA 30912-0004 | 2006-06-27 |
Please comment or provide details below to improve the information on CHARLES FINK PEEBLES.
| 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.