Peachtree Health Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PEACHTREE HEALTH GROUP LLC

Practice address

6110 Pine Mountain Rd NW Ste 201
Kennesaw, GA 30152-3357

Phone

(229) 563-3738

NPI assigned

Jan 27, 2026

Organization subpart

No

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

Authorized official

Name

Shishir Gupta, MDNPI 1912584715

Title

Member

Phone

(229) 563-3738

Specialties & licenses 3

Addresses

Other names 1

• Kennesaw Primary Care Doing business as

Practitioners 1

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

• Shishir Gupta, MD

  • Internal Medicine Physician
  • Kennesaw, GA
  • NPI 1912584715
  NPD Authorized official

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1174472641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 PINE MOUNTAIN RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523357",
            "telephone_number": "229-563-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 PINE MOUNTAIN RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523357",
            "telephone_number": "229-563-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHISHIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "229-563-3738",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennesaw Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Allen Patterson, PHARMD
• Paw and Peace Mental Health Counseling LLC
• Ellyce Diana Payne, MS, NCC, LAPC
• Peacemaker Solutions, Inc.
• Peach Seed Healthcare
• Marilyn Diane Pearce, LMFT, PH.D.
• Neal P. Pearce, P.T.
• Waylon Pearson, DO
• Heather H Pedrick, CNM
• Penny Health Services

• General Practice Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.