PEACHTREE PHYSICAL MEDICINE GROUP (NPI# 1205113065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205113065 |
| Entity Type | Organization |
| Organization Name | PEACHTREE PHYSICAL MEDICINE GROUP |
| Practice Address |
1140 Hammond Dr Ne Suite 110 Atlanta GA 30328-5338 |
| Practice Telephone | 7704548300 |
| Practice Fax Number | 7709869962 |
| Mailing Telephone | 7704548300 |
| Mailing Fax Number | 7709869962 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | MICHAEL WAX (CEO) |
| Authorized Official Telephone | 7704548300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
1140 HAMMOND DR NE SUITE 110 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339107 | Lifetest of Georgia, LLC | Clinic/Center | 1140 Hammond Dr Ne, Building I, Ste 9120, Atlanta, GA 30328-5338 | 2005-07-13 |
| 1871939751 | Alex E. Rikhter, Md P.C. | Internal Medicine | 1140 Hammond Dr Ne, Ste G7105, Atlanta, GA 30328-5338 | 2013-05-17 |
| 1619236288 | Melissa Ann Arnoczki | Chiropractor | 1140 Hammond Dr Ne, G-7100, Atlanta, GA 30328-5338 | 2012-05-16 |
| 1891066635 | Michael Wax | Chiropractor | 1140 Hammond Dr Ne, Ste 110, Atlanta, GA 30328-5338 | 2012-01-25 |
| 1881926632 | Paragon Anesthesia LLC | Specialist | 1140 Hammond Dr Ne, Bldg E, Suite 50, Atlanta, GA 30328 | 2010-02-04 |
| 1023343159 | Carolyne L Woods | Chiropractor | 1140 Hammond Dr Ne, Suite G-7100, Atlanta, GA 30328-5338 | 2009-10-07 |
| 1992950711 | Bethlehem Dagnew | Chiropractor | 1140 Hammond Dr Ne, Suite G7110, Atlanta, GA 30328-5338 | 2008-11-20 |
| 1952564155 | Meridian Health & Physical Therapy | Clinic/Center | 1140 Hammond Dr Ne, Suite G7110, Atlanta, GA 30328-5338 | 2008-07-08 |
| 1669651972 | Maureen Patrice Shifflett | Registered Nurse | 1140 Hammond Dr Ne, Suite E - 5250, Atlanta, GA 30328-5338 | 2007-11-02 |
| 1811107931 | Vivienne Louise Pierre | Physical Therapist | 1140 Hammond Dr Ne, Suite G-7110, Atlanta, GA 30328-5338 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881033041 | Katharine Seymour | Clinic/Center | 70 Perimeter Ctr E Apt 2334, Atlanta, GA 30346-1815 | 2013-06-21 |
| 1174896864 | Sensational Steps Therapy, Inc. | Clinic/Center | 739 Summer Dr Ne, Atlanta, GA 30328-6025 | 2012-02-11 |
| 1104138361 | Ability Rehab, LLC | Clinic/Center | 1835 Savoy Dr., Suite 100, Atlanta, GA 30341-1072 | 2010-07-04 |
| 1821314121 | Georgia Wellness & Rehab Center | Clinic/Center | 515 Fulton St Sw, Suite 2200, Atlanta, GA 30312-2438 | 2010-04-12 |
| 1356426282 | Physiotherapy Associates Inc | Clinic/Center | 1720 Peachtree St, Ste 422 North Tower, Atlanta, GA 30309-2448 | 2006-10-26 |
| 1093890923 | Physiotherapy Associates Inc | Clinic/Center | 855 Peachtree St Ne, Suite 1b, Atlanta, GA 30308-7400 | 2006-10-26 |
| 1467537381 | Physiotherapy Associates Inc | Clinic/Center | 17 Executive Park Dr Ne, Suite 680, Atlanta, GA 30329-2251 | 2006-10-26 |
| 1336529775 | On Target Pediatric Therapy, LLC | Clinic/Center | 2531 Briarcliff Rd Ne, Suite 121, Atlanta, GA 30329-3017 | 2015-06-01 |
| 1316356066 | Emory University | Clinic/Center | 1462 Clifton Rd Ne, Suite 312, Atlanta, GA 30322-1000 | 2014-08-07 |
| 1558678979 | United Rehab Inc | Clinic/Center | 2645 Whiting St Nw, Atlanta, GA 30318-4563 | 2010-09-07 |
| Find all providers in ATLANTA | ||||
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| 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.