Organization Active NPI

Peachtree Orthopaedic Surgery Center at Piedmont LLC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1902861941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
086261LGB Issued in GA
Legal business name
PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PIEDMONT LLC
Practice address
77 Collier Rd
Suite 2000
Atlanta, GA 30309-1754
Phone
(404) 351-6393
Fax
(404) 367-8259
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl L Fielder
Title
Administrator
Phone
(404) 351-6393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 086261LGB GA Primary

Addresses

Primary practice location

77 Collier Rd
Suite 2000
Atlanta, GA 30309-1754

Mailing address

77 Collier Rd
Suite 2000
Atlanta, GA 30309-1754
Phone (404) 351-6393

Other names 1

  • Peachtree Orthopeadic Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120730000610 GA Part B Supplier - Ambulatory Surgical Center 5890951255 Practice locations: Atlanta, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Peachtree Orthopaedic Surgery Center at Piedmont LLCCCN 11C0001185
Medicare certification status
ActiveFrom the Provider of Services file

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
11D0982108Peachtree Orthopaedic Surgery77 Collier Road Suite 2000, Atlanta, GA 30309Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

77 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 242-7263

Practitioners & affiliated clinicians

Practitioners 1

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902861941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 COLLIER RD",
            "address_2": "SUITE 2000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091754",
            "telephone_number": "404-351-6393",
            "fax_number": "404-367-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 COLLIER RD",
            "address_2": "SUITE 2000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091754",
            "telephone_number": "404-351-6393",
            "fax_number": "404-367-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PIEDMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-351-6393"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "086261LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Orthopeadic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.