Peachtree Hematology Oncology Consultants – Hematology & Oncology Physician, NPI 1336180637
Hematology & Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Peachtree Hematology Oncology Consultants
290 Country Club Dr Ste 100
Stockbridge, GA 302819069
Phone: (678) 854-9500
Fax: (678) 854-9502
Type: Location
4877 Bill Gardner Pkwy
Locust Grove, GA 302483644
Phone: (678) 399-7190
Fax: (678) 399-7192
Type: Location
1267 Highway 54 W Ste 4200
Fayetteville, GA 302142112
Phone: (678) 829-1060
Fax: (678) 829-1099
Type: Location
1800 Howell Mill Rd NW Ste 775
Atlanta, GA 303183186
Phone: (404) 350-9853
Fax: (404) 350-8407
Type: Location
775 Poplar Rd Ste 310
Newnan, GA 302658303
Phone: (770) 251-2590
Fax: (770) 251-1410
Type: Location
755 Mount Vernon Hwy NE Ste 320
Atlanta, GA 303284288
Phone: (404) 350-8711
Fax: (404) 351-7550
Type: Location
800, Howell Mill Road Northwest, Atlantic Station, Atlanta, Fulton County, Georgia, 30318, United States
ATLANTA, GA 303180922
Phone: (678) 298-3239
Fax: (404) 477-1162
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040505001123 | O | Clinic/Group Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30281)
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