Organization Active NPI

Peach Pediatric Psychological Center

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
National Provider Identifier
1750088860
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
PEACH PEDIATRIC PSYCHOLOGICAL CENTER
Practice address
1720 Peachtree St NW Ste 601
Atlanta, GA 30309-2450
Phone
(478) 242-6763
Fax
(404) 205-5144
NPI assigned
Feb 9, 2023
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Tayler Turnquist Ashley, PSYDNPI 1861105017
Title
Owner
Phone
(706) 676-2159

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
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

1720 Peachtree St NW Ste 601
Atlanta, GA 30309-2450

Mailing address

260 Battey Farm Rd NE
Rome, GA 30161-8944
Phone (706) 676-2159

Other practice location 1

315 Boulevard NE Ste 520
Atlanta, GA 30312-1266
Phone (478) 532-6926

Other practice location 2

121 Mirramont Lake Dr Ste 2
Woodstock, GA 30189-8215
Phone (478) 242-6763

National Provider Directory

National Provider Directory

Locations

1720 Peachtree St NW
Ste 601
Atlanta, GA 30309
Phone (478) 242-6763

121 Mirramont Lake Dr
Ste 2
Woodstock, GA 30189
Phone (478) 242-6763

Practitioners & affiliated clinicians

Practitioners 2

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1750088860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BATTEY FARM RD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301618944",
            "telephone_number": "706-676-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 601",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092450",
            "telephone_number": "478-242-6763",
            "fax_number": "404-205-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Boulevard NE Ste 520",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121266",
            "country_code": "US",
            "telephone_number": "478-532-6926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Mirramont Lake Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301898215",
            "country_code": "US",
            "telephone_number": "478-242-6763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACH PEDIATRIC PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "TAYLER",
        "authorized_official_middle_name": "TURNQUIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-676-2159",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "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 May 22, 2025; 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.