Peachtree Orthopaedic Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACHTREE ORTHOPAEDIC CLINIC

Practice address

1901 Phoenix Blvd
Suite 200
College Park, GA 30349-5063

Phone

(404) 355-0743

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Maria H Seaton, CPA

Title

Cfo

Phone

(404) 350-4703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1154569127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105258",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303485258",
            "telephone_number": "404-355-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PHOENIX BLVD",
            "address_2": "SUITE 200",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495063",
            "telephone_number": "404-355-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ORTHOPAEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SEATON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-350-4703",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Ivey Nettles LLC
• Roslyn Payne-Pamphile, M.D
• Tamara Brown Payne, PHD, CRC, LPC, NCC
• Peachtree Occupational Medicine & Urgent Care
• Peachtree Orthoapedic Clinic, P.a.
• Peachtree Orthopaedic Clinic, P.a.
• Peachtree Orthopaedic Clinic, PA
• Peachtree Orthopaedic Clinic, PC
• Paul F Penn Jr., DC
• People With a Purpose, Inc.

• Durable Medical Equipment & Medical Supplies in College Park, GA
• Providers in College Park, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.