Organization Active NPI

Peach Medical Associates

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1154370724
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026072 Issued in GA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000751561EMedicaidGA
000324684EMedicaidGA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.