Peachtree Podiatry Group

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PEACHTREE PODIATRY GROUP

Practice address

2193 Northlake Pkwy
Suite 114
Tucker, GA 30084-4116

Phone

(770) 938-5974

Fax

(770) 939-7393

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By 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

Alan S. Banks, DPMNPI 1639191646

Title

President

Phone

(770) 384-0284

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, and the practitioner matching its NPPES authorized official.

• Alan S Banks, DPM

  • Podiatrist
  • Atlanta, GA
  • NPI 1639191646
  NPD (past) Authorized official
• John A Ruch, DPM

  • Podiatrist
  • Tucker, GA
  • NPI 1548282551
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1336311620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIR SE",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803476",
            "telephone_number": "770-384-0284",
            "fax_number": "770-432-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 NORTHLAKE PKWY",
            "address_2": "SUITE 114",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844116",
            "telephone_number": "770-938-5974",
            "fax_number": "770-939-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-384-0284",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Schenk PSYD PC
• Abigail Paul, BCBA
• Justin Paulus
• Jennifer D Paveglio, LCSW
• Peach Blossom Dental, LLC
• Grant Allen Peacock III, PT
• Karja Peart
• Pediatria Healthcare, LLC
• Jesse Lee Peeples III
• Nancy Foster Penn, LCSW

• Podiatrist in Tucker, GA
• Providers in Tucker, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.