Organization Active NPI

Peachtree Pediatric Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Suwanee, GA
National Provider Identifier
1366838534
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Apr 14, 2015

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2101408Peachtree Pediatric Urgent Care, LLC1120 Peachtree Industrial Blvd, Suite 201, Suwanee, GA 30024Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.