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PEACH PEDIATRICS LLC
NPI 1447075403
Pediatrics in Cumming, GA

Active since November 15, 2024CLIA 11D0700435 · Waiver
3030 OLD ATLANTA RD STE 500, CUMMING, GA 30041(770) 203-2000(770) 886-7903 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peach Pediatrics Llc NPPES

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

PEACH PEDIATRICS LLC (NPI 1447075403) is a healthcare organization registered as a pediatrics in Cumming, Georgia and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 15, 2028, maintains a secondary practice location in Norcross, and lists Monal Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1447075403
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEACH PEDIATRICS LLC
Location Address3030 OLD ATLANTA RD STE 500Cumming, GA 30041-5867
Mailing Address3030 Old Atlanta Rd Ste 500Cumming, GA 30041-5867 · (770) 203-2000 · Fax (770) 886-7903
Phone(770) 203-2000
Fax(770) 886-7903
Organization SubpartNo
Authorized OfficialMonal ShahOwner · (404) 944-5057
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1447075403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3030 OLD ATLANTA RD STE 500, Cumming, GA 30041
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Other Names 1

Doing Business AsPeach Pediatrics Llc

Secondary Practice Location 1

Location 16010 Singleton RdNorcross, GA 30093-1963 · Phone (770) 248-0200

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

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 11D0700435

Peach Pediatrics, LLC · Norcross, GA
Active · expires Mar 15, 2028
CLIA Number11D0700435
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorShah K. Monal
Laboratory Phone(770) 248-0200
Laboratory LocationPeach Pediatrics, LLC6010 Singleton Rd Suite 209, Norcross, GA 30093
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.

MD PRIME INC
Pediatrics (Pediatric Pulmonology)
3030 OLD ATLANTA RD STE 500
CUMMING, GA 30041
Forsyth County (770) 203-2000

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 Peach Pediatrics LLC's NPI number?

The NPI number for Peach Pediatrics LLC is 1447075403. It was assigned to this organization in the NPPES registry on November 15, 2024.

Where is Peach Pediatrics LLC located?

Peach Pediatrics LLC is located at 3030 Old Atlanta Rd Ste 500, Cumming, GA 30041. The listed phone number is (770) 203-2000.

What is Peach Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Peach Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0700435) is associated with this NPI, valid through March 15, 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 Peach Pediatrics LLC was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.