Peachtree Occupational Medicine & Urgent Care

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

PEACHTREE OCCUPATIONAL MEDICINE & URGENT CARE

Practice address

1000 Northside Dr NW Ste 1400
Atlanta, GA 30318-5479

Phone

(770) 449-5161

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Tolan E. Mitchell

Title

Cfo

Phone

(404) 350-0743

Specialties & licenses 1

Addresses

Other names 1

• Peachtree Orthopedic Occupational Medicine-Norcross Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Peachtree Occupational Medicine2 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 Occupational Medicine & Urgent Care

  • Occupational Medicine Clinic/Center
  • College Park, GA
  • NPI 1942668363
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8474/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1679048003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 705",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-355-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHSIDE DR NW STE 1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185479",
            "telephone_number": "770-449-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE OCCUPATIONAL MEDICINE & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TOLAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-350-0743"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Orthopedic Occupational Medicine-Norcross",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peachtree Orthopedic Occupational Medicine-Norcross",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peachtree Nephrology PC
• Peachtree Neurological Clinic, P.C.
• Peachtree Neurology Associates, P.C.
• Peachtree Neuromonitoring, LLC
• Peachtree Neuropsychological Associates, P.C.
• Peachtree Oral & Maxillofacial Surgery Associates
• Peachtree Orthopaedic Clinic
• Peachtree Orthopaedic Clinic
• Peachtree Orthopaedic Clinic P.a.
• Peachtree Orthopaedic Clinic PA

• Occupational Medicine Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Medicine Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.