Peachstate Health Management LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PEACHSTATE HEALTH MANAGEMENT LLC

Doing business as

Aeon Global Health

Practice address

2225 Centennial Dr
Gainesville, GA 30504-5760

Phone

(678) 276-8412

Fax

(678) 971-4830

NPI assigned

Oct 19, 2011

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derek Laprise

Title

Ceo

Phone

(610) 331-2753

Specialties & licenses 1

Addresses

Other names 1

• Aeon Global Health Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1972888139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 CENTENNIAL DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045760",
            "telephone_number": "678-276-8412",
            "fax_number": "678-971-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 CENTENNIAL DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045760",
            "telephone_number": "678-276-8412",
            "fax_number": "678-971-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHSTATE HEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "LAPRISE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-331-2753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aeon Global Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aeon Global Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Dale Payne, MSPT
• PBT Dental LLC
• PCP Dental LLC (Aspen Dental)
• PCR-DX, LLC
• Peaceful Hearts Enterprise Inc (Peaceful Hearts PCH)
• Peachtree Childrens Dentistry Gainesville LLC
• Karen A Peacock, CRNA
• Anela D Pearson, AGACNP-BC
• Lindsay Danielle Pearson, PA-C
• Pediatric Associates LLP

• Clinical Medical Laboratory in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.