NPIMap

Organization Active NPI

Uhs of Peachford LP

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1124207220
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
044-596 Issued in GA
Legal business name
UHS OF PEACHFORD LP
Practice address
2151 Peachford Rd
Atlanta, GA 30338-6534
Phone
(770) 455-3200
Fax
(770) 454-2349
NPI assigned
Oct 25, 2007
Organization subpart
Yes
Parent organization
UHS OF PEACHFORD LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Steve Filton
Title
SVP
Phone
(800) 347-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 044-596 GA Primary

Addresses

Primary practice location

2151 Peachford Rd
Atlanta, GA 30338-6534

Mailing address

367 S Gulph Rd
Attn. Patti Jones
King of Prussia, PA 19406-3121
Phone (610) 768-3359

Other names 1

  • Peachford Behavioral Health System of Atlanta Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001376 GA Part B Supplier - Clinic/Group Practice 9234123894 Receives reassigned benefits from 5 practitioners
Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Uhs of Peachford LP2 organizations share this tax ID, including this one
Part of
Uhs of Peachford LP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2150 Peachford Rd
Atlanta, GA 30338
Phone (678) 615-7032

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summitridge HospitalLawrenceville, GA, CCN 114004 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 9, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1124207220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATTN. PATTI JONES",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "610-768-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386534",
            "telephone_number": "770-455-3200",
            "fax_number": "770-454-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF PEACHFORD LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UHS OF PEACHFORD LP",
        "enumeration_date": "2007-10-25",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "800-347-7750"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "044-596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachford Behavioral Health System of Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.