Atlanta Primary Care Peachtree, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ATLANTA PRIMARY CARE PEACHTREE, PC

Practice address

51 Hospital Rd
Newnan, GA 30263-1209

Phone

(770) 251-5540

Fax

(702) 251-5502

NPI assigned

Jul 21, 2006

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Bennett

Title

Office Manager

Phone

(678) 487-0556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 14

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.

• Tom John Albunian Mayuga, DO

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1902433246
  Medicare reassignment Care Compare group NPD
• Cecil Fitz Albert Bennett Jr., MD

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1982773610
  Medicare reassignment Care Compare group
• Vanessa Lee, M.D.

  • Family Medicine Physician
  • Acworth, GA
  • NPI 1497716377
  Medicare reassignment
• Judith T Rausch, M.D.

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1841216447
  Medicare reassignment
• Gloria J Carusi, APRN, NP-C

  • Nurse Practitioner
  • Tyrone, GA
  • NPI 1497974414
  NPD (past)
• Leslie J. Johnson, FNP-C

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1962877506
  NPD (past)
• Nicole Denise Knight, NP-C

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1346778966
  NPD (past)
• William C Lambert, M.D.

  • Family Medicine Physician
  • Fayetteville, GA
  • NPI 1922036607
  NPD (past)
• Elizabeth L Macnamara, PAC

  • Medical Physician Assistant
  • Columbus, GA
  • NPI 1588854202
  NPD (past)
• Leslie Rosenblatt-Brown, PA-C

  • Physician Assistant
  • Fayetteville, GA
  • NPI 1801906474
  NPD (past)
• Lauren Schwartz, NP

  • Family Nurse Practitioner
  • Tyrone, GA
  • NPI 1386281863
  NPD (past)
• Georgina Angeline Thompson, NP

  • Family Nurse Practitioner
  • Tyrone, GA
  • NPI 1356865570
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1477573293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631209",
            "telephone_number": "770-251-5540",
            "fax_number": "770-487-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631209",
            "telephone_number": "770-251-5540",
            "fax_number": "702-251-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PRIMARY CARE PEACHTREE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-487-0556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Arrington, N.P
• Daniel Asante, RBT
• Nahjia Askew
• Vasileios John Assikis, M.D.
• At Your Pace Counseling LLC
• Atlanta Vamc
• Avalon Health Care LLC (Avalon Health and Rehabilitation)
• Conelia Stacie Avery, CRNA
• Shanetia Sontavia Avinger, NP
• Jaiwantkumar M Avula, MD

• Specialist in Newnan, GA
• Providers in Newnan, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.