Active NPI
Peach South Case Management Agency LLC
- Case Management Agency
- Atlanta, GA
National Provider Identifier
1063347987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PEACH SOUTH CASE MANAGEMENT AGENCY LLC
- Practice address
- 2692 Harris St Ste 220
Atlanta, GA 30344-2672 - Phone
- (404) 488-3589
- NPI assigned
- Jun 13, 2026
- 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
- Erica Avery
- Title
- Administrator
- Phone
- (404) 488-3589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2692 Harris St Ste 220
Atlanta, GA 30344-2672
Mailing address
2692 Harris St Ste 220
Atlanta, GA 30344-2672
Phone (404) 488-3589
National Provider Directory
National Provider DirectoryLocations
2692 Harris St
Ste 220
Atlanta, GA 30344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781308800000",
"number": "1063347987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 HARRIS ST STE 220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303442672",
"telephone_number": "404-488-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2692 HARRIS ST STE 220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303442672",
"telephone_number": "404-488-3589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACH SOUTH CASE MANAGEMENT AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-13",
"last_updated": "2026-06-13",
"certification_date": "2026-06-13",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "404-488-3589"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.