Organization Active NPI

Paul E Peach MD PC

  • Physical Medicine & Rehabilitation Physician
  • Albany, GA
National Provider Identifier
1154419364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
028623 Issued in GA
Legal business name
PAUL E PEACH MD PC
Practice address
810 13TH Ave Ste 105
Albany, GA 31701-1333
Phone
(229) 446-8960
Fax
(229) 439-8861
NPI assigned
Oct 11, 2006
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
Ruth Spell
Title
Office Manager
Phone
(229) 446-8960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 028623 GA Primary

Addresses

Primary practice location

810 13TH Ave Ste 105
Albany, GA 31701-1333

Mailing address

810 13TH Ave Ste 105
Albany, GA 31701-1333
Phone (229) 446-8960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154419364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 13TH AVE STE 105",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011333",
            "telephone_number": "229-446-8960",
            "fax_number": "229-439-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 13TH AVE STE 105",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011333",
            "telephone_number": "229-446-8960",
            "fax_number": "229-439-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E PEACH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPELL",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-446-8960"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "028623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, 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.