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PEACHTREE HEALTH GROUP LLC
NPI 1174472641
General Practice in Kennesaw, GA

Active since January 27, 2026
6110 PINE MOUNTAIN RD NW STE 201, KENNESAW, GA 30152(229) 563-3738 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Jan 27, 2026 (2 updates tracked since 2026).

About Peachtree Health Group Llc NPPES

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

PEACHTREE HEALTH GROUP LLC (NPI 1174472641), doing business as Kennesaw Primary Care, is a healthcare organization registered as a general practice in Kennesaw, Georgia and active in the NPI registry since January 2026. The organization lists Shishir Gupta, Member, as its authorized official.

NPPES Registry Identity

NPI1174472641
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePEACHTREE HEALTH GROUP LLC
Location Address6110 PINE MOUNTAIN RD NW STE 201Kennesaw, GA 30152-3357
Mailing Address6110 Pine Mountain Rd Nw Ste 201Kennesaw, GA 30152-3357 · (229) 563-2094
Phone(229) 563-3738
Organization SubpartNo
Authorized OfficialShishir GuptaMember · (229) 563-3738
Enumeration DateJanuary 27, 2026
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1174472641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
6110 PINE MOUNTAIN RD NW STE 201, Kennesaw, GA 30152
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Other Names 1

Doing Business AsKennesaw Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DUE WEST INFUSION
Registered Nurse (Infusion Therapy)
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (770) 429-5555
ATLANTA PSYCHIATRIC AND THERAPY CENTER LLC
Psychiatry & Neurology (Psychiatry)
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (111) 111-1111
SHISHIR GUPTA MD
Internal Medicine
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (404) 589-3366
RICKEY PATEL MD
Family Medicine
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (404) 589-3366

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 Health Group LLC's NPI number?

The NPI number for Peachtree Health Group LLC is 1174472641. It was assigned to this organization in the NPPES registry on January 27, 2026. The provider is doing business as Kennesaw Primary Care.

Where is Peachtree Health Group LLC located?

Peachtree Health Group LLC is located at 6110 Pine Mountain Rd NW Ste 201, Kennesaw, GA 30152. The listed phone number is (229) 563-3738.

What is Peachtree Health Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Peachtree Health Group LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.