ATLANTA PRIMARY CARE PEACHTREE, PC (NPI# 1477573293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477573293 |
| Entity Type | Organization |
| Organization Name | ATLANTA PRIMARY CARE PEACHTREE, PC |
| Practice Address |
51 Hospital Rd Newnan GA 30263-1209 |
| Practice Telephone | 7702515540 |
| Practice Fax Number | 7022515502 |
| Mailing Telephone | 7702515540 |
| Mailing Fax Number | 7704879974 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MRS. ANDREA BENNETT (OFFICE MANAGER) |
| Authorized Official Telephone | 6784870556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AETNA | 7275373G | 01 |
| GA | BCBSGA | 52841180 | 01 |
| GA | CIGNA | 0225609 | 01 |
| Street Address |
51 HOSPITAL RD |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770127615 | Joint Regeneration and Anti-aging of Newnan | Registered Nurse | 51 Hospital Rd, Newnan, GA 30263-1209 | 2019-11-04 |
| 1386078517 | Newnan Family Medicine Associates | Family Medicine | 51 Hospital Rd, Newnan, GA 30263-1209 | 2013-08-23 |
| 1982773610 | Cecil Fitz Albert Bennett Jr. | Family Medicine | 51 Hospital Rd, Newnan, GA 30263-1209 | 2006-11-07 |
| 1063500239 | Donald F. Corr | Physician Assistant | 51 Hospital Rd, Newnan, GA 30263-1209 | 2006-10-11 |
| 1891779252 | Georgia M. Theriot | Family Medicine | 51 Hospital Rd, Newnan, GA 30263-1209 | 2005-11-30 |
| 1255314738 | Kevin R. Greenwell | Family Medicine | 51 Hospital Rd, Newnan, GA 30263-1209 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124116983 | Bryan David Price | Specialist | 2511 Highway 34 E, Suite C, Newnan, GA 30265-1329 | 2006-10-10 |
| 1073552196 | Diana Alma Santiago | Specialist | 211 Millard C. Farmer Industrial Blvd, Newnan, GA 30263 | 2006-06-05 |
| 1669451316 | Charles J Fulp Jr. | Specialist | 600 Parkway North, Cancer Treatment Centers of America, Newnan, GA 30265 | 2006-01-11 |
| 1659357382 | Malcolm Henry Cole Jr. | Specialist | 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263-5790 | 2005-12-15 |
| 1316944697 | David J Bodne | Specialist | 745 Poplar Road, Newnan, GA 32605-1618 | 2005-07-01 |
| 1770760423 | First Choice Medical and Rehabilitation | Specialist | 197 Jefferson Parkway, Newnan, GA 30271 | 2008-01-24 |
| 1316128507 | Jay S. Berger, M.d., P.C. | Specialist | 58 Hospital Rd, Suite 203, Newnan, GA 30263-1230 | 2007-11-16 |
| 1548451776 | Hima B Lingam | Specialist | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2007-08-05 |
| 1831122761 | Jason Christopher Beland | Specialist | 600 Parkway North, Cancer Treatment Centers of America, Newnan, GA 30265 | 2006-07-07 |
| 1588630222 | Mark E Axness | Specialist | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2006-02-23 |
| Find all providers in NEWNAN | ||||
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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.