NPIMap

Organization Active NPI

PT Hills Place Terraces LLC

Doing business as The Terraces at Peachtree Hills Place

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1801429105
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PT HILLS PLACE TERRACES LLC
Doing business as
The Terraces at Peachtree Hills Place
Practice address
229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411
Phone
(678) 327-2859
Fax
(678) 619-3211
NPI assigned
Feb 15, 2020
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Kevin W Isakson
Title
Member
Phone
(404) 941-1329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411

Mailing address

229 Peachtree Hills Ave NE
Atlanta, GA 30305-4411
Phone (678) 327-2859

Other names 1

  • The Terraces at Peachtree Hills Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200511000509 GA Part B Supplier - Clinic/Group Practice 5597196436 Receives reassigned benefits from 5 practitioners
Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
PT Hills Place Terraces LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1581724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1801429105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PEACHTREE HILLS AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054411",
            "telephone_number": "678-327-2859",
            "fax_number": "678-619-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PEACHTREE HILLS AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054411",
            "telephone_number": "678-327-2859",
            "fax_number": "678-619-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT HILLS PLACE TERRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "ISAKSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-941-1329"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Terraces at Peachtree Hills Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2023; 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.