Peachtree Urology, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

028233 Issued in GA

Legal business name

PEACHTREE UROLOGY, PC

Practice address

3200 Downwood Cir NW
Suite 680
Atlanta, GA 30327-1610

Phone

(404) 355-7272

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

J Maxwell White Jr., M.D.

Title

Owner

Phone

(404) 355-7272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1013958511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE",
            "address_2": "SUITE 7-601",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "404-842-5400",
            "fax_number": "404-848-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 680",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-355-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-355-7272",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "028233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Spine & Pain Physicians ASC, LLC
• Peachtree Spine & Pain Physicians, Inc
• Peachtree Spine Center
• Peachtree Surgical & Bariatrics
• Peachtree Surgical Specialists P.C.
• Peachtree Vascular Associates, P.C.
• Peachtree Wellness Center, PC
• Peachtree Women'S Clinic 2 LLC
• Peachtree Women'S Specialist 2LLC
• Peachtreeperimeter OBGYN

• Urology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.