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PEACHTREE ORTHOPAEDIC CLINIC PA NPI 1811912611


NPI Information

NPI: 1811912611
Provider Name: PEACHTREE ORTHOPAEDIC CLINIC PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2001 PEACHTREE RD
SUITE 705
ATLANTA, GA
ZIP 30309
Phone: (404) 355-0743
Get Directions

PEACHTREE ORTHOPAEDIC CLINIC PA is an orthopaedic surgery in Atlanta, GA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PEACHTREE ORTHOPAEDIC CLINIC PA NPI is 1811912611. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 PEACHTREE RD
SUITE 705
ATLANTA, GA
ZIP 30309
Phone: (404) 355-0743

The provider's authorized official is Saranya Chiaravalloti .
The authorized official title is Director Of Revenue Services and has the following contact phone number (404) 350-2447.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 11/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
5207XX0005XOrthopaedic SurgerySports MedicineNo
6208VP0014XPain MedicineInterventional Pain MedicineNo
7332B00000XDurable Medical Equipment & Medical SuppliesNo
8207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP1381MEDICARE PINGEORGIA
20486290001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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