Peach Healthcare Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEACH HEALTHCARE INC

Practice address

5360 Snapfinger Woods Dr
Suite 128
Decatur, GA 30035-4046

Phone

(770) 987-2642

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Dechane Cameron

Title

Ceo

Phone

(770) 987-2642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1891159182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 SNAPFINGER WOODS DR",
            "address_2": "SUITE 128",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354046",
            "telephone_number": "770-987-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 SNAPFINGER WOODS DR",
            "address_2": "SUITE 128",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354046",
            "telephone_number": "770-987-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "DECHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-987-2642"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Beth Payan, PAC
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• Rebecca Peacock
• Lakeisha Peake-Brown

• Durable Medical Equipment & Medical Supplies in Decatur, GA
• Providers in Decatur, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.