Organization Active NPI

Peachtree Medical Group LLC

  • Health Service Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1982474151
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PEACHTREE MEDICAL GROUP LLC
Practice address
13010 Morris Rd
Alpharetta, GA 30004-3873
Phone
(470) 300-2019
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Douglas Brilliant, MD
Title
Managing Director
Phone
(470) 300-2019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

13010 Morris Rd
Alpharetta, GA 30004-3873

Mailing address

13010 Morris Rd Ste 650
Alpharetta, GA 30004-5197
Phone (470) 300-2019

Other practice location 1

11425 Lewis Braselton Blvd
Suite 100
Braselton, GA 30517
Phone (470) 300-2019

Other practice location 2

6386 Corley Rd
Peachtree Corners, GA 30071-1704
Phone (470) 300-2019

National Provider Directory

National Provider Directory

Locations

11425 Lewis Braselton Blvd
#100
Braselton, GA 30517
Phone (470) 300-2019

6386 Corley Rd
Peachtree Corners, GA 30071
Phone (470) 300-2019

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1982474151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 MORRIS RD STE 650",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045197",
            "telephone_number": "470-300-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 MORRIS RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043873",
            "telephone_number": "470-300-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11425 Lewis Braselton Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "30517",
            "country_code": "US",
            "telephone_number": "470-300-2019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6386 Corley Rd",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300711704",
            "country_code": "US",
            "telephone_number": "470-300-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACHTREE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BRILLIANT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "470-300-2019",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.