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PEACHTREE FAYETTE WOMEN'S SPECIALISTS
NPI 1164475703
Obstetrics & Gynecology in Fayetteville, GA

Active since May 17, 2006CLIA Certified · 2 labs
1267 HIGHWAY 54 W, SUITE 3200, FAYETTEVILLE, GA 30214(770) 632-9900(770) 632-9997 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Fayette Women's Specialists NPPES

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

PEACHTREE FAYETTE WOMEN'S SPECIALISTS (NPI 1164475703) is a healthcare organization registered as an obstetrics & gynecology in Fayetteville, Georgia and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Michele R Brandt, R.n., Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1164475703
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePEACHTREE FAYETTE WOMEN'S SPECIALISTS
Location Address1267 HIGHWAY 54 W, SUITE 3200Fayetteville, GA 30214-4526
Mailing Address1267 Highway 54 W, Suite 3200Fayetteville, GA 30214-4526 · (770) 632-9900 · Fax (770) 632-9997
Phone(770) 632-9900
Fax(770) 632-9997
Organization SubpartNo
Authorized OfficialMichele R BrandtR.n., Practice Manager · (770) 632-9900
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1164475703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 20002063
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1267 HIGHWAY 54 W, Fayetteville, GA 30214
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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) 11D0928566

Peachtree Fayette Women's Specialists LLC · Fayetteville, GA
Active · expires Sep 5, 2026
CLIA Number11D0928566
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorNicole E. Quinn
Laboratory Phone(770) 632-9900
Laboratory LocationPeachtree Fayette Women's Specialists LLC1267 Highway 54 West, Suite 3200, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2283413

Peachtree Fayette Women's Specialists · Peachtree City, GA
Active · expires Jun 6, 2027
CLIA Number11D2283413
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorNicole E. Quinn
Laboratory Phone(770) 632-9900
Laboratory LocationPeachtree Fayette Women's Specialists403 Westpark Courtt, Suite 205, Peachtree City, GA 30269
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE DUPRE MD
Internal Medicine
1267 HIGHWAY 54 W, SUITE 5200
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5601
HANNAH KATHARINE SHELL NP-C
Nurse Practitioner (Family)
1267 HIGHWAY 54 W, STE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
MICHAELA MANIAS
Physician Assistant
1267 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (678) 829-1060
DR. SANJAY SARIN M.D.
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
DR. SAMUEL B BLEUEZ MD
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
TANGELLA E RUSSELL CNP
Nurse Practitioner (Family)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
GEORGIA UROLOGY PA
Urology
1267 HIGHWAY 54 W, SUITE 5200
FAYETTEVILLE, GA 30214
Fayette County (777) 046-0977
DR. THIPPESWAMY HIREMATHDA MURTHY MD
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, STE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051

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 Fayette Women's Specialists's NPI number?

The NPI number for Peachtree Fayette Women's Specialists is 1164475703. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Peachtree Fayette Women's Specialists located?

Peachtree Fayette Women's Specialists is located at 1267 Highway 54 W Suite 3200, Fayetteville, GA 30214. The listed phone number is (770) 632-9900.

What is Peachtree Fayette Women's Specialists's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Peachtree Fayette Women's Specialists hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Peachtree Fayette Women's Specialists accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Peachtree Fayette Women's Specialists 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 Peachtree Fayette Women's Specialists was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.