Organization Active NPI

Peachtree Allergy and Asthma Clinic PC

  • Allergy Physician
  • Atlanta, GA
National Provider Identifier
1811035652
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
PEACHTREE ALLERGY AND ASTHMA CLINIC PC
Practice address
1800 Peachtree St NW
Suite 720
Atlanta, GA 30309-2519
Phone
(404) 351-7520
Fax
(404) 355-2048
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Mrs. Sherry L Osborne
Title
Office Manager
Phone
(404) 351-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

1800 Peachtree St NW
Suite 720
Atlanta, GA 30309-2519

Mailing address

1800 Peachtree St NW
Suite 720
Atlanta, GA 30309-2519
Phone (404) 351-7520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000060 GA Part B Supplier - Clinic/Group Practice 2264458132 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA; Carrollton, GA; Sharpsburg, GA

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
11D2157987Peachtree Allergy and Asthma Clinic, PC1800 Peachtree Street, NW, Suite 720, Atlanta, GA 30309Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

1800 Peachtree St NW
Ste 720
Atlanta, GA 30309
Phone (404) 351-7520

1938 Peachtree Rd NW
Ste 507
Atlanta, GA 30309
Phone (404) 351-7520

2740 Bert Adams Rd
Ste 150
Atlanta, GA 30339
Phone (404) 351-7520

150 Clinic Ave
Ste 102
Carrollton, GA 30117
Phone (404) 351-7520

820 Ebenezer Church Rd
Ste 101
Sharpsburg, GA 30277
Phone (404) 351-7520

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1811035652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "404-351-7520",
            "fax_number": "404-355-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "404-351-7520",
            "fax_number": "404-355-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ALLERGY AND ASTHMA CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-351-7520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "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 Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.