Active NPI
Peachtree Pediatric Urgent Care, LLC
- Urgent Care Clinic/Center
- Suwanee, GA
National Provider Identifier
1366838534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PEACHTREE PEDIATRIC URGENT CARE, LLC
- Practice address
- 1120 Peachtree Industrial Blvd
201
Suwanee, GA 30024-2013 - Phone
- (404) 427-6233
- NPI assigned
- Apr 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shekou M Sesay Jr., MD, MPD
- Title
- Owner
- Phone
- (404) 427-6233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1120 Peachtree Industrial Blvd
201
Suwanee, GA 30024-2013
Mailing address
1120 Peachtree Industrial Blvd
201
Suwanee, GA 30024-2013
Phone (404) 427-6233
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2101408 | Peachtree Pediatric Urgent Care, LLC | Certificate of waiver | Sep 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1120 Peachtree Industrial Blvd
Ste 201
Suwanee, GA 30024
Phone (404) 427-6233
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Atlanta, GA
- NPI 1700580693
-
- Pediatric Nurse Practitioner
- Suwanee, GA
- NPI 1023646874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428969600000",
"number": "1366838534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 PEACHTREE INDUSTRIAL BLVD",
"address_2": "201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242013",
"telephone_number": "404-427-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 PEACHTREE INDUSTRIAL BLVD",
"address_2": "201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242013",
"telephone_number": "404-427-6233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACHTREE PEDIATRIC URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-14",
"last_updated": "2015-04-14",
"status": "A",
"authorized_official_last_name": "SESAY",
"authorized_official_first_name": "SHEKOU",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-427-6233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD, MPD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.