PEACH TREE CLINIC
NPI 1003863622
Clinic/Center - Federally Qualified Health Center (FQHC) in Marysville, CA
About Peach Tree Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACH TREE CLINIC (NPI 1003863622) is a healthcare organization registered as a federally qualified health center (fqhc) in Marysville, California and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through September 12, 2027 and lists Greg Stone, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peach Tree Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
55Medicare enrollment records show 55 clinicians reassign Medicare billing to Peach Tree Clinic, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 55Marysville, CA 95901
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0684018
Peach Tree Clinic Laboratory · Marysville, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peach Tree Healthcare's NPI number?
The NPI number for Peach Tree Healthcare is 1003863622. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Peach Tree Clinic.
Where is Peach Tree Healthcare located?
Peach Tree Healthcare is located at 5730 Packard Ave Suite 500, Marysville, CA 95901. The listed phone number is (530) 749-3242.
What is Peach Tree Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Peach Tree Healthcare enrolled in Medicare?
Yes. Peach Tree Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peach Tree Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 13 Medicare specialties reassign their Medicare billing to Peach Tree Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (13) and Pediatric Medicine (6). Of these, 9 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peach Tree Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0684018) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peach Tree Healthcare accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Peach Tree Healthcare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peach Tree Healthcare was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peach Tree Clinic · NPI 1003863622
Federally Qualified Health Center (FQHC) organization in Marysville, California. Organization record, active in the CMS NPPES registry since May 28, 2006.
## Identity
- **NPI:** 1003863622 (Entity type: Organization)
- **Enumerated:** May 28, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Peach Tree Healthcare
- **Organization subpart:** No
- **Authorized official:** Greg Stone, CEO
## Practice location
- **Address:** 5730 PACKARD AVE, SUITE 500, Marysville, CA 95901-7118
- **Phone:** (530) 749-3242 · **Fax:** (530) 749-3238
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 55 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (13), Pediatric Medicine (6); 9 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1003863622/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2022
- **Other identifiers:** Medicaid FHC11619G (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003863622) · Data from the CMS NPPES public registry.