Peachtree Spine Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CHIR005228 Issued in GA

Legal business name

PEACHTREE SPINE CENTER

Practice address

1401 Peachtree St NE Ste 160
Atlanta, GA 30309-3000

Phone

(404) 475-0386

Fax

(404) 475-0443

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Sara Badie

Title

Billing

Phone

(770) 876-6964

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1013296078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST NE STE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093000",
            "telephone_number": "404-475-0386",
            "fax_number": "404-475-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST NE STE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093000",
            "telephone_number": "404-475-0386",
            "fax_number": "404-475-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BADIE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "770-876-6964",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "CHIR005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Seniors Inc
• Peachtree Smiles II PC
• Peachtree Spine & Pain Physicians
• Peachtree Spine & Pain Physicians ASC, LLC
• Peachtree Spine & Pain Physicians, Inc
• Peachtree Surgical & Bariatrics
• Peachtree Surgical Specialists P.C.
• Peachtree Urology, PC
• Peachtree Vascular Associates, P.C.
• Peachtree Wellness Center, PC

• Preferred Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.