Organization Active NPI

Peachtree Neurology Associates, P.C.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1457443137
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
033442 Issued in GA
Legal business name
PEACHTREE NEUROLOGY ASSOCIATES, P.C.
Practice address
5730 Glenridge Dr Ste 220
Atlanta, GA 30328-5579
Phone
(404) 255-5330
Fax
(404) 255-5416
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Ramon M Sanchez, M.D.NPI 1487678116
Title
Owner
Phone
(404) 255-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 033442 GA Primary

Addresses

Primary practice location

5730 Glenridge Dr Ste 220
Atlanta, GA 30328-5579

Mailing address

PO Box 420297
Atlanta, GA 30342-0297
Phone (404) 255-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000873 GA Part B Supplier - Clinic/Group Practice 7214921915 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

960 Johnson Ferry Rd
Ste 520
Sandy Springs, GA 30342
Phone (404) 255-5330

5667 Ptree Dunwoody Rd NE
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-5330

1150 Lake Hearn Dr
Ste 550
Sandy Springs, GA 30342
Phone (404) 255-5330

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGDIBD

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1457443137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420297",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303420297",
            "telephone_number": "404-255-5330",
            "fax_number": "404-255-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 GLENRIDGE DR STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285579",
            "telephone_number": "404-255-5330",
            "fax_number": "404-255-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE NEUROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-255-5330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "033442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.