Peachtree Medical and Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

024876 Issued in GA

Legal business name

PEACHTREE MEDICAL AND SURGICAL ASSOCIATES PC

Practice address

64 Eastbrook BND
Peachtree City, GA 30269-1530

Phone

(770) 487-3272

Fax

(770) 632-7867

NPI assigned

May 2, 2007

Last updated

Feb 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Don C Walker, MD FACSNPI 1497810980

Title

President Surgeon

Phone

(770) 487-3272

Specialties & licenses 2

Addresses

Other identifiers 7

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 1

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.

• Don C Walker, M.D. FACS

  • Surgery Physician
  • Peachtree City, GA
  • NPI 1497810980
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422748800000",
    "number": "1245451509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302690530",
            "telephone_number": "770-487-3272",
            "fax_number": "770-632-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 EASTBROOK BND",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691530",
            "telephone_number": "770-487-3272",
            "fax_number": "770-632-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE MEDICAL AND SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-02-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT  SURGEON",
        "authorized_official_telephone_number": "770-487-3272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "024876",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "024876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "45631",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED PRG",
            "identifier": "52672999",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "110139118",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1290417",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "52446409",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52446409 02",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "GRP191",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peachtree City Physicians Group
• Peachtree City Speech and Language
• Peachtree City Urgent Care, Inc
• Peachtree Endodontics, P.C.
• Peachtree Infusion, LLC (Vital Care of Peachtree City)
• Peachtree Medical Center
• Peachtree Medical Center
• Peachtree Medical Supply LLC
• Peachtree Omfs LLC, DBN Peachtree Oral & Facial Surgery
• Peachtree Pediatric Dentistry

• Surgery Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.