PEACHTREE CENTER REHAB LLC (NPI# 1558606137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558606137 |
| Entity Type | Organization |
| Organization Name | PEACHTREE CENTER REHAB LLC |
| Practice Address |
241 Peachtree St Ne Marta Level Suite B Atlanta GA 30303-1424 |
| Practice Telephone | 4045229991 |
| Practice Fax Number | 4045229890 |
| Mailing Telephone | 4045229991 |
| Mailing Fax Number | 4045229890 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | JEREMY JOSEPH BROE (PRESIDENT) |
| Authorized Official Telephone | 4045229991 |
| Authorized Official Credential | DOC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO007816 | GA | Chiropractic Providers |
| Street Address |
241 PEACHTREE ST NE MARTA LEVEL SUITE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871516815 | Mia Yvette Walker | Chiropractor | 241 Peachtree St Ne, Suite B, Atlanta, GA 30303-1424 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1831713684 | Asia Barclay | Chiropractor | 6855 Foxfire Pl, Atlanta, GA 30349-1384 | 2020-06-07 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1427672120 | Brittany Guifarro | Chiropractor | 552 Ponce De Leon Ave Ne Ste 552, Atlanta, GA 30308-1806 | 2020-05-29 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1972131043 | Rebecca Katherine Young | Chiropractor | 4895 Atlanta Rd Se Ste 124b, Atlanta, GA 30339-1518 | 2020-04-01 |
| 1083249734 | Tia Hill | Chiropractor | 457 Flat Shoals Ave Se Ste 4, Atlanta, GA 30316-1962 | 2020-03-03 |
| 1518599513 | Shawn Robinson | Chiropractor | 659 Auburn Ave Ne Ste G04, Atlanta, GA 30312-1953 | 2020-02-07 |
| 1174155394 | Keishla Yaritza Roman Ramos | Chiropractor | 3151 Stillhouse Creek Dr Se, Atlanta, GA 30339-3537 | 2020-02-05 |
| Find all providers in ATLANTA | ||||
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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.