Peach Fits,Inc

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Legal business name

PEACH FITS,INC

Practice address

285 Glynn Street South
Suites 102 and 104
Fayetteville, GA 30214

Phone

(678) 960-6914

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Laurel Key Taylor

Title

Mastectomy Fitter

Phone

(678) 960-6914

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1881234557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 GLYNN STREET SOUTH",
            "address_2": "SUITES 102 AND 104",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-960-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GLYNN STREET SOUTH",
            "address_2": "SUITES 102 AND 104",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-960-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH FITS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "KEY",
        "authorized_official_title_or_position": "MASTECTOMY FITTER",
        "authorized_official_telephone_number": "678-960-6914"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eulene Paulk, LCSW
• Stacey Nicole Paxton, LPC
• Malique Roxanne Payne, O.D.
• Luevonia Payton
• Pca Interventional Spine at Fayette, LLC
• Peachtree Detox LLC
• Peachtree Fayette Women's Specialists
• Peachtree Women's Physical Therapy, Inc
• Gretchen H Peacock, DMFT
• Shereese Nicole Pearsall

• Mastectomy Fitter in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Mastectomy Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.