PEACHTREE UROLOGY, PC (NPI# 1013958511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013958511 |
| Entity Type | Organization |
| Organization Name | PEACHTREE UROLOGY, PC |
| Practice Address |
3200 Downwood Cir Nw Suite 680 Atlanta GA 30327-1610 |
| Mailing Address |
3525 Piedmont Rd Ne Suite 7-601 Atlanta GA 30305-1578 |
| Practice Telephone | 4043557272 |
| Mailing Telephone | 4048425400 |
| Mailing Fax Number | 4048481225 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | J MAXWELL WHITE JR. (OWNER) |
| Authorized Official Telephone | 4043557272 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 028233 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3200 DOWNWOOD CIR NW SUITE 680 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708929 | Novamed Management Services LLC | Clinic/Center | 3200 Downwood Cir Nw, Ste 200, Atlanta, GA 30327-1610 | 2005-05-23 |
| 1679185342 | Carmen Bradshaw | Nurse Practitioner | 3200 Downwood Cir Nw, Atlanta, GA 30327-1610 | 2020-08-23 |
| 1235678483 | Peachtree Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 | 2017-02-21 |
| 1174072383 | Pamela Lyman | Nurse Practitioner | 3200 Downwood Cir Nw, Suite 220, Atlanta, GA 30327-1610 | 2016-09-28 |
| 1811357502 | Stacey Dawn Tatroe | Nurse Practitioner | 3200 Downwood Cir Nw, Ste 550, Atlanta, GA 30327-1624 | 2016-02-24 |
| 1528425360 | Clark Laser & Cosmetic Dermatology, LLC | Dermatology | 3200 Downwood Cir Nw, Suite 360, Atlanta, GA 30327-1610 | 2016-01-25 |
| 1831554765 | Atlanta Knee and Shoulder Clinic PC | Non-Pharmacy Dispensing Site | 3200 Downwood Cir Nw, Suite 410, Atlanta, GA 30327-1610 | 2015-12-18 |
| 1699143131 | Atlanta Center for Endodontics, P.C. | Clinic/Center | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1407224991 | Melanie Burns | Dentist | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1770963993 | Ansley Mccarter | Physical Therapist | 3200 Downwood Cir Nw, Suite 350, Atlanta, GA 30327-1610 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
| 1033552799 | Andrew Pridjian | Urology | 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342-1776 | 2013-04-12 |
| 1518256890 | Aaron David Weiss | Urology | Emory Univ Hosp Dept of Urology, Ste B1400 1365 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2011-04-07 |
| 1407172877 | Dhruti Mukund Patel | Urology | 1450 S Johnson Ferry Rd, Atlanta, GA 30319 | 2010-04-10 |
| 1598990533 | Tariq S Hakky | Urology | 371 E Paces Ferry Road, Suite 550, Atlanta, GA 30305 | 2009-05-20 |
| 1932351277 | Milton Joseph Deitch | Urology | 5770 Cameron Hall Pl Nw, Atlanta, GA 30328-4896 | 2008-10-17 |
| 1588812440 | Jaime Alan Wan Cheung Wong | Urology | 1800 Howell Mill Rd Nw Ste 500, Atlanta, GA 30318-2594 | 2008-09-04 |
| 1619161007 | Nathan F Pursifull | Urology | 275 Collier Rd Nw Ste 400, Atlanta, GA 30309-1711 | 2007-08-29 |
| 1437275385 | Christopher Paul Filson | Urology | 1365 Clifton Rd Ne Ste B1400, Atlanta, GA 30322-5330 | 2007-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.