Peachtree Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

RN203757 Issued in GA

Legal business name

PEACHTREE MEDICAL CENTER

Practice address

2579 Highway 54
Peachtree City, GA 30269-1451

Phone

(770) 487-7807

Fax

(770) 487-7619

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Martha Lorena Friedl, NP-C

Title

Nurse Practitioner

Phone

(770) 487-7807

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zia Khan, MD

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1427122092
  NPD
• Unnisa Faiyaz, M.D.

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1285660985
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1457762486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691451",
            "telephone_number": "770-487-7807",
            "fax_number": "770-487-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691451",
            "telephone_number": "770-487-7807",
            "fax_number": "770-487-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LORENA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-487-7807",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "RN203757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree City Urgent Care, Inc
• Peachtree Endodontics, P.C.
• Peachtree Infusion, LLC
• Peachtree Medical and Surgical Associates PC
• Peachtree Medical Center
• Peachtree Medical Supply LLC
• Peachtree Omfs LLC, DBN Peachtree Oral & Facial Surgery
• Peachtree Pediatric Dentistry
• Peachtree Pediatrics PC
• Peachtree Periodontics & Dental Implants

• Skilled Nursing Facility in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.