NPIMap

Organization Active NPI

Peachtree Park Pediatrics, LLP

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1699835660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEACHTREE PARK PEDIATRICS, LLP
Practice address
3193 Howell Mill Rd NW
Suite 250
Atlanta, GA 30327-2119
Phone
(404) 351-1131
Fax
(404) 351-3515
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert H Wiskind, M.D.NPI 1205909850
Title
M.D.,Partner
Phone
(404) 351-1131

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)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW
Suite 250
Atlanta, GA 30327-2119

Mailing address

3193 Howell Mill Rd NW
Suite 250
Atlanta, GA 30327-2119
Phone (404) 351-1131

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0258854Peachtree Park Pediatrics,LLP3193 Howell Mill Road, NW, Suite 250, Atlanta, GA 30327Provider-performed microscopyJan 6, 2028

National Provider Directory

National Provider Directory

Locations

3193 Howell Mill Rd NW
Ste 250
Atlanta, GA 30327
Phone (404) 351-1131

Interoperability endpoints

  • Direct secure messaging: annakuo@ppp.allscriptsdirect.net
  • Direct secure messaging: brentspeer@ppp.allscriptsdirect.net
  • Direct secure messaging: brianwinn@ppp.allscriptsdirect.net
  • Direct secure messaging: laurenbrown@ppp.allscriptsdirect.net
  • Direct secure messaging: nicoleellerine@ppp.allscriptsdirect.net
  • Direct secure messaging: robertwiskind@ppp.allscriptsdirect.net
  • Direct secure messaging: sheafleming@ppp.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699835660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-351-1131",
            "fax_number": "404-351-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272119",
            "telephone_number": "404-351-1131",
            "fax_number": "404-351-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE PARK PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISKIND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "M.D.,PARTNER",
        "authorized_official_telephone_number": "404-351-1131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.