Organization Active NPI

Peace of Mine

  • General Practice Physician
  • Duluth, GA
National Provider Identifier
1841937133
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEACE OF MINE
Practice address
3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849
Phone
(404) 381-1178
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Charisse Hughson-Chitolie, NPNPI 1760993760
Title
Owner
Phone
(443) 416-8899

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
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849

Mailing address

3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849
Phone (404) 381-1178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220906000315 GA Part B Supplier - Clinic/Group Practice 0941684286 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Locations

2810 Peachtree Industrial Blvd
Duluth, GA 30097

Practitioners & affiliated clinicians

Practitioners 2

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1841937133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD STE 701",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972849",
            "telephone_number": "404-381-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD STE 701",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972849",
            "telephone_number": "404-381-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "HUGHSON-CHITOLIE",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-416-8899",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.