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PEACHTREE MEDICAL CENTER
NPI 1275650921
Clinic/Center - Primary Care in Peachtree City, GA

Active since March 26, 2007CLIA Certified · 4 labs
2579 HWY 54, PEACHTREE CITY, GA 30269(770) 487-7807 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Peachtree Medical Center NPPES

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

PEACHTREE MEDICAL CENTER (NPI 1275650921) is a healthcare organization registered as a primary care in Peachtree City, Georgia and active in the NPI registry since March 2007. The organization holds 4 active CLIA laboratory certificates and lists Unnisa Faiyaz, Physcian, as its authorized official.

NPPES Registry Identity

NPI1275650921
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEACHTREE MEDICAL CENTER
Location Address2579 HWY 54Peachtree City, GA 30269
Mailing Address2579 Hwy 54Peachtree City, GA 30269 · (770) 487-7807
Phone(770) 487-7807
Organization SubpartNo
Authorized OfficialUnnisa FaiyazPhyscian · (770) 487-7807
Enumeration DateMarch 26, 2007
Last NPPES UpdateJanuary 24, 2008
✔ NPI 1275650921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 022087
2579 HWY 54, Peachtree City, GA 30269
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Other Identifiers 2

Medicare UPINE 54856GA
Medicare PIN330666962 BGA

CLIA Laboratory Certificates CMS CLIA 4

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) 11D0257208

Peachtree Medical Center · Fayetteville, GA
Active · expires Mar 14, 2028
CLIA Number11D0257208
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorJohn A. Keller MD
Laboratory Phone(770) 487-7807
Laboratory LocationPeachtree Medical Center108 N Park Dr Ste 108, Fayetteville, GA 30214
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.

Certificate of Waiver 11D2242515

Peachtree Medical Center · Newnan, GA
Active · expires Nov 8, 2027
CLIA Number11D2242515
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorZia Khan
Laboratory Phone(770) 487-7807
Laboratory LocationPeachtree Medical Center710 Newnan Crossing Bypass, Newnan, GA 30263
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0906886

Peachtree Medical Center · Tyrone, GA
Active · expires Oct 5, 2027
CLIA Number11D0906886
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorZia Khan
Laboratory Phone(770) 487-7807
Laboratory LocationPeachtree Medical Center190 Greencastle Road, Tyrone, GA 30290
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.

Certificate of Waiver 11D2331446

Peachtree Medical Center · Peachtree City, GA
Active · expires Oct 1, 2027
CLIA Number11D2331446
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorZia L. Khan
Laboratory Phone(770) 487-7807
Laboratory LocationPeachtree Medical Center101 Mcwilliams Drive, 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.

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 Center's NPI number?

The NPI number for Peachtree Medical Center is 1275650921. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Peachtree Medical Center located?

Peachtree Medical Center is located at 2579 Hwy 54, Peachtree City, GA 30269. The listed phone number is (770) 487-7807.

What is Peachtree Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Peachtree Medical Center hold CLIA laboratory certificates?

Yes. 4 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 Medical Center was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.