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PEACH MEDICAL ASSOCIATES NPI 1154370724


NPI Information

NPI: 1154370724
Provider Name: PEACH MEDICAL ASSOCIATES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
305 OSIGIAN BLVD
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 953-9999
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PEACH MEDICAL ASSOCIATES is an internal medicine in Warner Robins, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PEACH MEDICAL ASSOCIATES NPI is 1154370724. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 OSIGIAN BLVD
WARNER ROBINS, GA
ZIP 31088-953
Phone: (478) 953-9999
Fax: (478) 953-7910

The provider's authorized official is Curt L Redmond .
The authorized official title is Business Manager and has the following contact phone number (478) 953-9999.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 11/12/2010.


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
1207Q00000XFamily Medicine043738GEORGIANo
2207VG0400XObstetrics & GynecologyGynecology043738GEORGIANo
3207R00000XInternal Medicine026072GEORGIAYes

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
1G54716MEDICARE UPINGEORGIA
2000751561EMEDICAIDGEORGIA
3D29036MEDICARE UPINGEORGIA
4GRP1262MEDICARE PINGEORGIA
5000324684EMEDICAIDGEORGIA
6CC0349MEDICARE PINGEORGIA

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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