Peace Academy Charterschool

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PEACE ACADEMY CHARTERSCHOOL

Practice address

1954 Candler Rd
Decatur, GA 30032-4225

Phone

(470) 722-0706

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tyese Nichole King, CCMA

Title

School Nurse

Phone

(470) 722-0706

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1952189730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324225",
            "telephone_number": "470-722-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324225",
            "telephone_number": "470-722-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE ACADEMY CHARTERSCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TYESE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "470-722-0706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Alison Paxton, MD, MPH
• Jana Beth Payan, PAC
• Dolly Fay Payne
• Michele Payne
• Shelia Tajuan Payton, DC
• Peach Healthcare Inc
• Peachtree Immediate Care UC, LLC
• Peachtree Rnfa LLC
• Peachtree Spine & Pain Physicians, Inc
• Rebecca Peacock

• Local Education Agency (LEA) in Decatur, GA
• Providers in Decatur, GA by specialty
• Local Education Agency (LEA) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.