Peachtree Recovery Solutions

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PEACHTREE RECOVERY SOLUTIONS

Practice address

3060 Business Park Dr
Suite C
Norcross, GA 30071

Phone

(404) 694-5887

Fax

(770) 637-5377

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Luke Thurston

Title

Executive Director

Phone

(404) 694-5887

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Patrice Whitner, LPC

  • Professional Counselor
  • Newnan, GA
  • NPI 1821762733
  NPD
• Bryon McQuirt

  • Forensic Psychiatry Physician
  • Senoia, GA
  • NPI 1760616858
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1063092294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 BUSINESS PARK DR",
            "address_2": "SUITE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "404-694-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 BUSINESS PARK DR",
            "address_2": "SUITE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "404-694-5887",
            "fax_number": "770-637-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE RECOVERY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-694-5887"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANA LISA CARR MD",
            "identifier": "81534",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KIPU",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3060 Business Park Dr Ste C",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300715400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Peachtree Rapidcare Medical Center Inc
• Peachtree Surgical Associates
• Peachtree Surgical Associates
• Alyse Pearson-Bryant
• Ann Marie Peck, FNP-C
• Arthur Peddle

• Substance Use Disorder Rehabilitation Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.