Peachtree Recovery Centers, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PEACHTREE RECOVERY CENTERS, LLC

Practice address

3975 Roswell Rd NE
Suite 102
Atlanta, GA 30342-4119

Phone

(404) 237-5519

Fax

(404) 262-2557

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Bud Hearn

Title

Owner

Phone

(404) 606-0030

Specialties & licenses 1

Addresses

Tax ID family

Peachtree Recovery Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peachtree Recovery Centers, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlanta, GA
  • NPI 1497217715
  NPD tax ID

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1528518420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GRUBER LN",
            "address_2": "SUITE 107",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222881",
            "telephone_number": "404-237-5519",
            "fax_number": "404-262-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROSWELL RD NE",
            "address_2": "SUITE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424119",
            "telephone_number": "404-237-5519",
            "fax_number": "404-262-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE RECOVERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "BUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-606-0030"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Psychological Services, P.C.
• Peachtree Pulmonary Consultants, PC
• Peachtree Radiation Oncology Services PC
• Peachtree Radiology, LLC
• Peachtree Recovery Centers, LLC
• Peachtree Rehab
• Peachtree Seniors Inc
• Peachtree Smiles II PC
• Peachtree Spine & Pain Physicians
• Peachtree Spine & Pain Physicians ASC, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.