Active NPI
Peach Medical Associates
- Internal Medicine Physician
- Warner Robins, GA
National Provider Identifier
1154370724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 026072
- Legal business name
- PEACH MEDICAL ASSOCIATES
- Practice address
- 305 Osigian Blvd
Warner Robins, GA 31088-8953 - Phone
- (478) 953-9999
- Fax
- (478) 953-7910
- NPI assigned
- May 9, 2006
- Last updated
- Nov 12, 2010
- 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
- Mr. Curt L Redmond
- Title
- Business Manager
- Phone
- (478) 953-9999
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 043738 | GA | |
| Internal Medicine Physician | 207R00000X | 026072 | GA | Primary |
| Gynecology Physician | 207VG0400X | 043738 | GA |
Addresses
Primary practice location
305 Osigian Blvd
Warner Robins, GA 31088-8953
Mailing address
305 Osigian Blvd
Warner Robins, GA 31088-8953
Phone (478) 953-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000751561E | Medicaid | GA | |
| 000324684E | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289520000000",
"number": "1154370724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 OSIGIAN BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888953",
"telephone_number": "478-953-9999",
"fax_number": "478-953-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 OSIGIAN BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888953",
"telephone_number": "478-953-9999",
"fax_number": "478-953-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACH MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2010-11-12",
"status": "A",
"authorized_official_last_name": "REDMOND",
"authorized_official_first_name": "CURT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "478-953-9999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "043738",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "026072",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "043738",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000751561E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000324684E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
- Paul R Coplin MD PC (psychiatric health services)
- Cateisha Lanee Paul
- Melissa Kirkland Payne, NP-C
- Peach Care Transportation, LLC
- Peach Home Health Care, Inc. (Hobbs Home Medical)
- Peachbelt Health and Rehabilitation Center LLC
- Pamela Pearson, RBT
- Laura Cook Peavy, PHARMD
- Pediatric Care After Hours
- Pediatric Dentistry of Central Ga, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.