Active NPI
Peer Solutions of Georgia, Inc.
- Community Health Worker
- Woodstock, GA
National Provider Identifier
1063305506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- PEER SOLUTIONS OF GEORGIA, INC.
- Practice address
- 2097 Township Dr
Woodstock, GA 30189-5283 - Phone
- (770) 500-9348
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Beth Haile
- Title
- Ceo
- Phone
- (770) 500-9348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | Primary | ||
| Peer Specialist | 175T00000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
2097 Township Dr
Woodstock, GA 30189-5283
Mailing address
2097 Township Dr
Woodstock, GA 30189-5283
Phone (770) 500-9348
Other names 1
- Peer Solutions of Georgia, Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Peer Specialist
- Woodstock, GA
- NPI 1396638821
Case Manager/Care Coordinator
-
- Peer Specialist
- Woodstock, GA
- NPI 1124911664
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1063305506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 TOWNSHIP DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895283",
"telephone_number": "770-500-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 TOWNSHIP DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895283",
"telephone_number": "770-500-9348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEER SOLUTIONS OF GEORGIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "HAILE",
"authorized_official_first_name": "MARY BETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-500-9348"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peer Solutions of Georgia, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.