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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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peachtree Fayette Women's Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Peachtree Fayette Women's Specialists, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Marlo Carter, MD
Obstetrics/Gynecology
NPI 1811107121
1267 HIGHWAY 54 W SUITE 3200
Fayetteville, GA 30214
(770) 632-9900
✔ PECOS✔ Accepts MedicareSame address
Lilibird Pichardo, M.D.
Obstetrics/Gynecology
NPI 1750679775
1267 HIGHWAY 54 W SUITE 3200
Fayetteville, GA 30214
(770) 632-9900
✔ PECOSSame address
Nicole Quinn, M.D.
Obstetrics/Gynecology
NPI 1932464617
1267 HIGHWAY 54 W STE 3200
Fayetteville, GA 30214
(770) 632-9900
✔ PECOS✔ Accepts MedicareSame address
Matthew Ralsten, M.D.
Obstetrics/Gynecology
NPI 1184654394
1267 HIGHWAY 54 WEST SUITE 3200
Fayetteville, GA 30214
(770) 632-9900
✔ PECOS✔ Accepts MedicareSame address
Sarah White, D.O.
Obstetrics/Gynecology
NPI 1548654643
1267 HIGHWAY 54 W STE 3200
Fayetteville, GA 30214
(770) 632-9900
✔ PECOS✔ Accepts MedicareSame address
William Cook, M.D.
Obstetrics/Gynecology
NPI 1740234780
1267 HIGHWAY 54 W SUITE 3200
Fayetteville, GA 30214
(770) 632-9900
✔ PECOS✔ Accepts MedicareSame address
Blair Mitchell-Handley, MD
Obstetrics/Gynecology
NPI 1821558065
101 W UNIVERSITY AVE
Champaign, IL 61820
(217) 366-1255
✔ PECOS✔ Accepts Medicare504 mi

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 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, 2028
CLIA Number11D0928566
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2026
Certificate Expiration DateSeptember 5, 2028
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.

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.

Is Peachtree Fayette Women's Specialists enrolled in Medicare?

Yes. Peachtree Fayette Women's Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peachtree Fayette Women's Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Peachtree Fayette Women's Specialists. 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. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 14 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.