Active NPI
Peachtree Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Roswell, GA
National Provider Identifier
1477381648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- PEACHTREE ENDOCRINOLOGY
- Practice address
- 11660 Alpharetta Hwy Ste 600
Roswell, GA 30076-3891 - Phone
- (470) 913-7350
- NPI assigned
- Jul 22, 2024
- 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. Muhammad Faisal Khan Siddiqui, MD
- Title
- Practice Owner/Endocrinologist
- Phone
- (470) 913-7350
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
11660 Alpharetta Hwy Ste 600
Roswell, GA 30076-3891
Mailing address
307 Peppermill LN
Woodstock, GA 30188-3111
Phone (470) 913-7350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11660 Alpharetta Hwy
Ste 600
Roswell, GA 30076
Phone (203) 606-3204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Roswell, GA
- NPI 1740578665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1477381648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 PEPPERMILL LN",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883111",
"telephone_number": "470-913-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11660 ALPHARETTA HWY STE 600",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763891",
"telephone_number": "470-913-7350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACHTREE ENDOCRINOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-21",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "MUHAMMAD FAISAL",
"authorized_official_middle_name": "KHAN",
"authorized_official_title_or_position": "PRACTICE OWNER/ENDOCRINOLOGIST",
"authorized_official_telephone_number": "470-913-7350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.