PEACHTREE ORTHOPAEDIC SURGERY CENTER-NORTH, LLC
NPI 1093389421
Clinic/Center - Ambulatory Surgical in Cumming, GA

Active since May 19, 2021CLIA 11D2239381 · Waiver
2860 RONALD REAGAN BLVD., STE 100, CUMMING, GA 30041(404) 425-1500 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Orthopaedic Surgery Center-north, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACHTREE ORTHOPAEDIC SURGERY CENTER-NORTH, LLC (NPI 1093389421) is a healthcare organization registered as an ambulatory surgical in Cumming, Georgia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Tolan E. Mitchell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093389421
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePEACHTREE ORTHOPAEDIC SURGERY CENTER-NORTH, LLC
Location Address2860 RONALD REAGAN BLVD., STE 100Cumming, GA 30041
Mailing Address2860 Ronald Reagan Blvd., Ste 100Cumming, GA 30041 · (404) 425-1500
Organization SubpartNo
Authorized OfficialTolan E. MitchellCfo · (404) 355-0743
Enumeration DateMay 19, 2021
NPPES CertifiedApril 27, 2021
NPI 1093389421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2860 RONALD REAGAN BLVD., Cumming, GA 30041

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 of Waiver 11D2239381

Peachtree Orthopaedic Surgery Center-North · Cumming, GA
Active · expires Oct 11, 2027
CLIA Number11D2239381
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorJohn Chao
Laboratory Phone(404) 355-0743
Laboratory LocationPeachtree Orthopaedic Surgery Center-North2860 Ronald Reagan Boulevard Suite 100, Cumming, GA 30041
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,261 services17 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
222 services142 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
114 services43 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
67 services23 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
51 services49 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
49 services24 patients

Frequently 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 Peachtree Orthopaedic Surgery Center-North, LLC's NPI number?

The NPI number for Peachtree Orthopaedic Surgery Center-North, LLC is 1093389421. It was assigned to this organization in the NPPES registry on May 19, 2021.

Where is Peachtree Orthopaedic Surgery Center-North, LLC located?

Peachtree Orthopaedic Surgery Center-North, LLC is located at 2860 Ronald Reagan Blvd. Ste 100, Cumming, GA 30041. The listed phone number is (404) 425-1500.

What is Peachtree Orthopaedic Surgery Center-North, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Peachtree Orthopaedic Surgery Center-North, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2239381) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peachtree Orthopaedic Surgery Center-North, LLC was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.