NPIMap

Individual provider Active NPI

Peaesha Lynette Houston, DO

  • Family Medicine Physician
  • Buford, GA
National Provider Identifier
1285054742
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
78196 Issued in GA
Practice address
4445 S Lee St Ste 105
Buford, GA 30518-8806
Phone
(770) 848-9240
NPI assigned
Apr 23, 2014
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 6754 GA
Family Medicine Physician 207Q00000X 78196 GA Primary

Addresses

Primary practice location

4445 S Lee St Ste 105
Buford, GA 30518-8806

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

2805 Hamilton Mill Rd
Buford, GA 30519-4110
Phone (678) 541-0588

Other practice location 2

4889 Golden Pkwy Ste 100
Buford, GA 30518-5878
Phone (770) 848-9240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phouston101703@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319002680 GA Practitioner - Family Practice 0143536029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Physicians Group Urgent Care LLCGroup PAC ID 3274535687, 62 clinicians

Practice addresses (Care Compare)

4445 S Lee St
Suite 100
Buford, GA 30518-8806
Phone (770) 932-9559

4889 Golden Pkwy
Suite 100
Buford, GA 30518-5878
Phone (678) 714-3217

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.71
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
78196GAMDFamily Medicine Physician
6754GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Urgent Care LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Sacred Seasons Life Care CurrentSince Aug 12, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Feb 21, 2020 Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Northeast Georgia Medical Center, Inc. PastSince Feb 21, 2020 Accepting new patients
Northeast Georgia Medical Center Habersham LLC Past Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
The Hospital Authority of Habersham County Past Accepting new patients

Locations

1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195

4445 S Lee St
Ste 100
Buford, GA 30518
Phone (770) 848-5200

4445 S Lee St
Ste 105
Buford, GA 30518
Phone (770) 848-9240

4889 Golden Pkwy
Ste 100
Buford, GA 30518
Phone (678) 714-3217

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

Interoperability endpoints

  • Direct secure messaging: phouston101703@nghs.gadirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1285054742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S LEE ST STE 105",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188806",
            "telephone_number": "770-848-9240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Hamilton Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305194110",
            "country_code": "US",
            "telephone_number": "678-541-0588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4889 Golden Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305185878",
            "country_code": "US",
            "telephone_number": "770-848-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "PEAESHA",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "6754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "78196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phouston101703@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4445 S Lee St Ste 105",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305188806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.