NPIMap

Organization Active NPI

Peachtree Inpatient Consulting LLC

  • Hospitalist Physician
  • Wytheville, VA
National Provider Identifier
1003059247
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
PEACHTREE INPATIENT CONSULTING LLC
Practice address
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone
(276) 325-0678
Fax
(855) 858-0464
NPI assigned
Apr 17, 2009
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rachel Pritchard
Title
Administrator
Phone
(423) 817-5169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

600 W Ridge Rd
Wytheville, VA 24382-1044

Mailing address

PO Box 888163
Knoxville, TN 37995-8163

Other practice location 1

6801 Gov George C. Peery Hwy
Richlands, VA 24641
Phone (276) 325-0678

Other practice location 2

1761 Park Ave SW
Norton, VA 24273
Phone (276) 325-0678 ext. 20229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090701000227 VA Part B Supplier - Clinic/Group Practice 6709937881 Receives reassigned benefits from 8 practitioners
Practice locations: Richlands, VA; Wytheville, VA
O20090731000441 WV Part B Supplier - Clinic/Group Practice 6709937881 Receives reassigned benefits from 5 practitioners
Practice locations: Oak Hill, WV

National Provider Directory

National Provider Directory

Locations

900 Holston Rd
Wytheville, VA 24382
Phone (276) 228-5595

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1003059247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888163",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821044",
            "telephone_number": "276-325-0678",
            "fax_number": "855-858-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Gov George C. Peery Hwy",
            "address_purpose": "LOCATION",
            "city": "Richlands",
            "state": "VA",
            "postal_code": "24641",
            "country_code": "US",
            "telephone_number": "276-325-0678",
            "fax_number": "855-858-0464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1761 Park Ave SW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "24273",
            "country_code": "US",
            "telephone_number": "276-325-0678 x20229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACHTREE INPATIENT CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-817-5169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.