Organization Active NPI

Peachtree Center Rehab Medical Services

  • Medical Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1215610381
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PEACHTREE CENTER REHAB MEDICAL SERVICES
Practice address
241 Peachtree St NE Ste B
Atlanta, GA 30303-1421
Phone
(404) 522-9991
Fax
(404) 522-9890
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Carmen F Flores, DC
Title
Proprietor
Phone
(404) 522-9991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

241 Peachtree St NE Ste B
Atlanta, GA 30303-1421

Mailing address

241 Peachtree St NE Ste B
Atlanta, GA 30303-1421
Phone (404) 522-9991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1215610381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031421",
            "telephone_number": "404-522-9991",
            "fax_number": "404-522-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031421",
            "telephone_number": "404-522-9991",
            "fax_number": "404-522-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE CENTER REHAB MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "404-522-9991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.