Peachtree Fayette Women'S Specialists

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20002063 Issued in GA

Legal business name

PEACHTREE FAYETTE WOMEN'S SPECIALISTS

Practice address

1267 Highway 54 W
Suite 3200
Fayetteville, GA 30214-4526

Phone

(770) 632-9900

Fax

(770) 632-9997

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Michele R Brandt, RN

Title

R.N., Practice Manager

Phone

(770) 632-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nykia Sherie Burke-Bray, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1679006845
  Medicare reassignment Care Compare group NPD
• Marlo Lee Carter, MD

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1811107121
  Medicare reassignment Care Compare group NPD
• William T Cook, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1740234780
  Medicare reassignment Care Compare group NPD
• Nicole E Quinn, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1932464617
  Medicare reassignment Care Compare group NPD
• Matthew M Ralsten, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1184654394
  Medicare reassignment Care Compare group NPD
• Sarah G. E. White, D.O.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1548654643
  Medicare reassignment Care Compare group NPD
• Lilibird Pichardo, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1750679775
  Medicare reassignment NPD
• Blair Elizabeth Mitchell-Handley, MD

  • Obstetrics & Gynecology Physician
  • Champaign, IL
  • NPI 1821558065

  GA

  Medicare reassignment NPD
• Kristin Lee Ledbetter, CSFA

  • Surgical Physician Assistant
  • Dallas, GA
  • NPI 1992578132
  NPD
• Deidra Miesha Printup, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1629843446
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1164475703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W",
            "address_2": "SUITE 3200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144526",
            "telephone_number": "770-632-9900",
            "fax_number": "770-632-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W",
            "address_2": "SUITE 3200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144526",
            "telephone_number": "770-632-9900",
            "fax_number": "770-632-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE FAYETTE WOMEN'S SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "R.N., PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-632-9900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "20002063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malique Roxanne Payne, O.D.
• Luevonia Payton
• Pca Interventional Spine at Fayette, LLC
• Peach Fits,Inc
• Peachtree Detox LLC
• Peachtree Women'S Physical Therapy, Inc
• Gretchen H Peacock, DMFT
• Shereese Nicole Pearsall
• Kelly Haskell Peczka
• Pediatric Emergency Medicine Associates LLC

• Obstetrics & Gynecology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.