PEACHTREE RNFA LLC NPI 1497411292

NPI Information

  • NPI: 1497411292
  • Provider Name: PEACHTREE RNFA LLC
  • Classification: Registered Nurse - 163WR0006X
  • Specialization: Registered Nurse First Assistant
  • Entity Type: Organization
  • Address: 807 E PONCE DE LEON AVE
    DECATUR, GA
    ZIP 30030
  • Phone: (214) 227-2457

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NPI Details

PEACHTREE RNFA LLC is a registered nurse first assistant registered nurse in Decatur, GA. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. PEACHTREE RNFA LLC NPI is 1497411292. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

807 E PONCE DE LEON AVE
DECATUR, GA
ZIP 30030-036
Phone: (214) 227-2457
Fax: (214) 764-0880

The provider's authorized official is Norma D Brock .
The authorized official title is Owner and has the following contact phone number (770) 853-1974.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WR0006XRegistered NurseRegistered Nurse First AssistantYes

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: 11/21/2025

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