NPIMap

Organization Active NPI

Canton Physical Medicare, LLC

  • Physical Medicine & Rehabilitation Physician
  • Canton, GA
National Provider Identifier
1174831218
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CANTON PHYSICAL MEDICARE, LLC
Practice address
2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614
Phone
(770) 345-9600
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Steven D Peyroux
Title
Owner
Phone
(770) 345-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614

Mailing address

2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614
Phone (770) 345-9600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1174831218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148614",
            "telephone_number": "770-345-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148614",
            "telephone_number": "770-345-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PHYSICAL MEDICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PEYROUX",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-345-9600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.