NPIMap

Organization Active NPI

Peachtree Seniors Inc

  • Specialist
  • Atlanta, GA
National Provider Identifier
1144300880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEACHTREE SENIORS INC
Practice address
993 Johnson Ferry Rd NE BLDG F
Suite 230
Atlanta, GA 30342-1620
Phone
(404) 303-9988
Fax
(404) 303-9986
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Starr
Title
Director
Phone
(317) 598-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE BLDG F
Suite 230
Atlanta, GA 30342-1620

Mailing address

375 Rockbridge Rd NW
#172-241
Lilburn, GA 30047-8225
Phone (404) 303-9988

National Provider Directory

National Provider Directory

Locations

375 Rockbridge Rd NW
Ste 172241
Lilburn, GA 30047

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144300880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROCKBRIDGE RD NW",
            "address_2": "#172-241",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478225",
            "telephone_number": "404-303-9988",
            "fax_number": "404-303-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE BLDG F",
            "address_2": "SUITE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-303-9988",
            "fax_number": "404-303-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE SENIORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-598-8880"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "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 Aug 22, 2020; 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.