Active NPI
Peachpoint Healthcare LLC
Doing business as Sapelo Psychiatry
- Clinic/Center
- Sheridan, WY
National Provider Identifier
1821862780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PEACHPOINT HEALTHCARE LLC
- Doing business as
- Sapelo Psychiatry
- Practice address
- 1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777 - Phone
- (833) 797-7924
- NPI assigned
- Nov 10, 2023
- Last updated
- May 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hamilton Elijah Smith, APRN
- Title
- Ceo
- Phone
- (833) 797-7924
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Psychiatry Physician | 2084P0800X | NU |
Addresses
Primary practice location
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Mailing address
1309 Coffeen Ave
Sheridan, WY 82801-5777
Other names 1
- SAPELO PSYCHIATRY
National Provider Directory
National Provider DirectoryLocations
1309 Coffeen Ave
Sheridan, WY 82801
Phone (307) 461-5618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1821862780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 1200",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777",
"telephone_number": "833-797-7924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACHPOINT HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-10",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "HAMILTON",
"authorized_official_middle_name": "ELIJAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "833-797-7924",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAPELO PSYCHIATRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.