PEACHTREE MEDICAL AND SURGICAL ASSOCIATES PC
NPI 1245451509
Surgery in Peachtree City, GA

Active since May 02, 2007CLIA 11D0995638 · Waiver
64 EASTBROOK BND, PEACHTREE CITY, GA 30269(770) 487-3272(770) 632-7867 Get Directions Write a Review

NPPES record last updated: February 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Medical And Surgical Associates Pc NPPES

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

PEACHTREE MEDICAL AND SURGICAL ASSOCIATES PC (NPI 1245451509) is a healthcare organization registered as a surgery in Peachtree City, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Don C Walker, President Surgeon, as its authorized official.

NPPES Registry Identity

NPI1245451509
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePEACHTREE MEDICAL AND SURGICAL ASSOCIATES PC
Location Address64 EASTBROOK BNDPeachtree City, GA 30269-1530
Mailing AddressPo Box 2530Peachtree City, GA 30269-0530 · (770) 487-3272 · Fax (770) 632-7867
Fax(770) 632-7867
Organization SubpartNo
Authorized OfficialDon C WalkerPresident Surgeon · (770) 487-3272
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 1, 2015
NPI 1245451509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 024876
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 024876 (GA)
64 EASTBROOK BND, Peachtree City, GA 30269

Other Identifiers 9

Other52446409 02GA · Bcbs
Other110139118GA · Other
Other52672999GA · Bcbs Fed Prg
Other45631GA · Uhc
OtherGRP191GA · Medicare Grp
Other1290417GA · Uhc
Other52446409GA · Bcbs Of Ga
Medicare UPIND41305GA
Medicare PIN413845229AGA

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

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 11D0995638

Peachtree Medical And Surgical Associates PC · Peachtree City, GA
Active · expires Jan 27, 2028
CLIA Number11D0995638
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDon C. Walker
Laboratory Phone(770) 487-3272
Laboratory LocationPeachtree Medical And Surgical Associates PC64 Eastbrook Bend, Peachtree City, GA 30269
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Surgery
64 EASTBROOK BND
PEACHTREE CITY, GA 30269

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 Medical And Surgical Associates PC's NPI number?

The NPI number for Peachtree Medical And Surgical Associates PC is 1245451509. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Peachtree Medical And Surgical Associates PC located?

Peachtree Medical And Surgical Associates PC is located at 64 Eastbrook Bnd, Peachtree City, GA 30269. The listed phone number is (770) 487-3272.

What is Peachtree Medical And Surgical Associates PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Peachtree Medical And Surgical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0995638) is associated with this NPI, valid through January 27, 2028. 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 Medical And Surgical Associates PC was last updated on February 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.