PEACHTREE INPATIENT CONSULTING LLC – Hospitalist Physician, NPI 1003059247
Hospitalist Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PEACHTREE INPATIENT CONSULTING LLC
600 W RIDGE RD
WYTHEVILLE, VA 243821044
Phone: (276) 325-0678
Fax: (855) 858-0464
Type: Location
1761 Park Ave SW
Norton, VA 24273
Phone: (276) 325-0678
Type: Location
6801 Gov George C. Peery Hwy
Richlands, VA 24641
Phone: (276) 325-0678
Fax: (855) 858-0464
Type: Location
1761, Park Avenue Northwest, Dorchester Junction, Norton, Norton City, Virginia, 24273, United States
NORTON, VA 24273
Phone: (276) 325-0678
Type: Location
PO BOX 888163
KNOXVILLE, TN 379958163
Phone:
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: 2009-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (710 days ago).
Enrollment records
2
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20090701000227 | O | Clinic/Group Practice | VA | 2025-08-31 |
| O20090731000441 | O | Clinic/Group Practice | WV | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 24382)
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