Organization Active NPI

Peach South Case Management Agency LLC

  • Case Management Agency
  • Atlanta, GA
National Provider Identifier
1063347987
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jun 13, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.