Peter John Ulbrich, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

028696 Issued in GA

Practice address

403 Westpark CT
Suite 110
Peachtree City, GA 30269-1456

Phone

(770) 486-1633

Fax

(770) 486-6275

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Retina, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1023027430

  Specialist

  NPD (past)
• Women'S Health and Aesthetics

  • Gynecology Physician
  • Peachtree City, GA
  • NPI 1538338827
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063550200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WESTPARK CT",
            "address_2": "SUITE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691456",
            "telephone_number": "770-486-1633",
            "fax_number": "770-486-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WESTPARK CT",
            "address_2": "SUITE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691456",
            "telephone_number": "770-486-1633",
            "fax_number": "770-486-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULBRICH",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "028696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00489145E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Taylor Trujillo-Ortega, FNP-C
• Tommy Turkiewicz, D.M.D.
• Chiquita Turner, LCSW
• Jill Suzanne Turnier, MS CCC-SLP
• Nicole Turvey
• Ultrasound Services of Georgia LLC
• Undeniable Healthcare
• United Surgical Associates, Inc
• Danaisa Urgelles Arias, BCBA
• Cayla Elizabeth Van Alstine, MD

• Specialist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.