Peachtree Care Center of Covington

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PEACHTREE CARE CENTER OF COVINGTON

Practice address

6133 Petty St SW
Covington, GA 30014-3888

Phone

(678) 894-0388

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

John Anthony

Title

Medical Billing Associate

Phone

(678) 894-0388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1457874091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE STE D-397",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "678-894-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 PETTY ST SW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143888",
            "telephone_number": "678-894-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE CARE CENTER OF COVINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL BILLING ASSOCIATE",
        "authorized_official_telephone_number": "678-894-0388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Pearson Jr., PHARMD
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• Julmia L Penn
• Peoples Home Medical
• Tammy L Peppers

• Skilled Nursing Facility in Covington, GA
• Providers in Covington, 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 Jul 25, 2017; 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.