Peach Family Medicine P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40986 Issued in GA

Legal business name

PEACH FAMILY MEDICINE P.C.

Practice address

886 Hampton Rd
McDonough, GA 30253-6514

Phone

(678) 432-1119

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maristella Riley, MD

Title

Pres.

Phone

(678) 432-1119

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Patricia Reynolds, CNM, NP

  • Advanced Practice Midwife
  • McDonough, GA
  • NPI 1215062161
  NPD (past)
• Reubean Alvis Reynolds, M.D.

  • Obstetrics & Gynecology Physician
  • Riverdale, GA
  • NPI 1205842374
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245266535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 HAMPTON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 HAMPTON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536514",
            "telephone_number": "678-432-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MARISTELLA",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "678-432-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "40986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephania Althea Patton, REGISTERED NURSE
• Richard Eric Paul, D.M.D.
• Crystal L Payne, LCSW
• Erica Quiterra Payne
• Jordan Jenna Payne, APRN, WHNP-BC
• Peach State Caring Hands LLC
• Peach State Women'S Healthcare
• Bernadette Pearson, PHLEBOTOMIST, CNA
• Gregory Wayne Peck, O.D.
• Pediatric Dental Studios

• Family Medicine Physician in McDonough, GA
• Providers in McDonough, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.