PEACHTREE PRIMARY CARE PC
NPI 1437428331
Family Medicine in Roswell, GA

Q: What is Peachtree Primary Care PC's NPI number?

The NPI number for Peachtree Primary Care PC is 1437428331. It was assigned to this organization in the NPPES registry on December 21, 2011.

Q: What is Peachtree Primary Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 21, 2011CLIA 11D2039914 · Waiver

1570 OLD ALABAMA RD, ROSWELL, GA 30076(770) 676-6838(770) 676-6840 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peachtree Primary Care Pc NPPES

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

PEACHTREE PRIMARY CARE PC (NPI 1437428331) is a healthcare organization registered as a family medicine in Roswell, Georgia and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Anila H Qidwai, Owner, as its authorized official.

NPPES Registry Identity

NPI1437428331

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePEACHTREE PRIMARY CARE PC

Location Address1570 OLD ALABAMA RDRoswell, GA 30076-2107

Mailing Address1570 Old Alabama Rd, Suite 105Roswell, GA 30076-2107 · (770) 676-6838 · Fax (770) 676-6840

Phone(770) 676-6838

Fax(770) 676-6840

Organization SubpartNo

Authorized OfficialAnila H QidwaiOwner · (770) 676-6838

Enumeration DateDecember 21, 2011

Last NPPES UpdateMay 4, 2012

✔ NPI 1437428331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 065787

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1570 OLD ALABAMA RD, Roswell, GA 30076

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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

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 11D2039914

Peachtree Primary Care, PC · Roswell, GA

Active · expires Apr 18, 2028

CLIA Number11D2039914

Laboratory TypePhysician Office

Certificate Effective DateApril 19, 2026

Certificate Expiration DateApril 18, 2028

Laboratory DirectorMs. Anila A. Qidwai

Laboratory Phone(770) 676-6838

Laboratory LocationPeachtree Primary Care, PC1570 Old Alabama Road, Roswell, GA 30076

CLIA data matches this NPI record on: Address 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.

DR. ANILA QIDWAI MD

Family Medicine

1570 OLD ALABAMA RD, SUITE#105
ROSWELL, GA 30076

Fulton County (770) 676-6838

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 Primary Care PC's NPI number?

The NPI number for Peachtree Primary Care PC is 1437428331. It was assigned to this organization in the NPPES registry on December 21, 2011.

Where is Peachtree Primary Care PC located?

Peachtree Primary Care PC is located at 1570 Old Alabama Rd, Roswell, GA 30076. The listed phone number is (770) 676-6838.

What is Peachtree Primary Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Peachtree Primary Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2039914) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peachtree Primary Care PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Peachtree Primary Care PC 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 Primary Care PC was last updated on May 4, 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.