Peachtree Wellness Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PEACHTREE WELLNESS GROUP LLC

Doing business as

Peachtree Pain and Rehab

Practice address

1300 Peachtree Industrial Blvd Ste 4108
Suwanee, GA 30024-4541

Phone

(470) 238-3683

NPI assigned

Oct 20, 2023

Last updated

Jul 29, 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

Tony ChungNPI 1306366265

Title

Chief Clinical Director

Phone

(470) 238-3683

Specialties & licenses 2

Addresses

Other names 1

• Peachtree Pain and Rehab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tony Chung, DPT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1306366265
  NPD Authorized official

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1982486122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4108",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4108",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244541",
            "telephone_number": "470-238-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Peachtree Industrial Blvd Ste 4108",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244541",
            "country_code": "US",
            "telephone_number": "470-238-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACHTREE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CHIEF CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "470-238-3683"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Pain and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peachtree Pain and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peach Dermatology, P.C.
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• Peachtree Medical Clinic LLC
• Peachtree Pediatric Urgent Care, LLC
• Peachtree Spine & Pain Physicians, Inc (Peachtree Spine Physicians, Inc)
• Samantha Joelle Peacock, PTA
• Peak Surgical Services LLC
• Robert Pearson
• Carl Peck
• Pediatric Associates of Johns Creek PC

• Chiropractor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Chiropractor in Georgia

• 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.