PEACH STATE PROVIDERS GROUP INC – Physical Therapist, NPI 1629111802

PEACH STATE PROVIDERS GROUP INC is a healthcare provider. based in Fayetteville, Georgia. specializing in Physical Therapist. The organization holds a License No. 1741 (GA). The NPI Number for PEACH STATE PROVIDERS GROUP INC is 1629111802

Main info

Organization
Name
PEACH STATE PROVIDERS GROUP INC
NPI
1629111802
Phone
(770) 460-1494
Address
146 HAWN ROAD
Authorized Official
MRS. BRENDA R TALLEY PHYSICAL THERAPIST RPT
Enumeration Date
15 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PEACH STATE PROVIDERS GROUP INC

  • 146 HAWN ROAD

    FAYETTEVILLE, GA 30215

    Phone: (770) 460-1494

    Type: Mailing

  • 7146 SOUTHLAKE PARKWAY

    MORROW, GA 30260

    Phone: (770) 960-9979

    Fax: (770) 960-9662

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30215)

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Frequently asked questions

What identifier follows PEACH STATE PROVIDERS GROUP INC across health systems?
The NPI 1629111802 uniquely identifies PEACH STATE PROVIDERS GROUP INC in U.S. healthcare data.
Is PEACH STATE PROVIDERS GROUP INC currently accepting referrals based on NPI status?
Registry metadata lists PEACH STATE PROVIDERS GROUP INC as active.
What type of care does PEACH STATE PROVIDERS GROUP INC provide?
PEACH STATE PROVIDERS GROUP INC's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PEACH STATE PROVIDERS GROUP INC?
PEACH STATE PROVIDERS GROUP INC is associated with Fayetteville, Georgia in the same public data insurers reference.
Who maintains PEACH STATE PROVIDERS GROUP INC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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