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PEACHTREE CITY OBSTETRICS AND GYNECOLOGY, P.C.
NPI 1447340401
Obstetrics & Gynecology in Peachtree City, GA

Active since October 13, 2006CLIA Certified · 2 labs
210 CLOVER REACH, PEACHTREE CITY, GA 30269(770) 487-9604(770) 631-0540 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peachtree City Obstetrics And Gynecology, P.c. NPPES

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

PEACHTREE CITY OBSTETRICS AND GYNECOLOGY, P.C. (NPI 1447340401) is a healthcare organization registered as an obstetrics & gynecology in Peachtree City, Georgia and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Rebecca Banks, President, as its authorized official.

NPPES Registry Identity

NPI1447340401
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePEACHTREE CITY OBSTETRICS AND GYNECOLOGY, P.C.
Location Address210 CLOVER REACHPeachtree City, GA 30269-1657
Mailing Address210 Clover Reach, P.o. Box 2505Peachtree City, GA 30269-1657 · (770) 487-9604 · Fax (770) 631-0540
Phone(770) 487-9604
Fax(770) 631-0540
Organization SubpartNo
Authorized OfficialRebecca BanksPresident · (770) 487-9604
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447340401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
210 CLOVER REACH, Peachtree City, GA 30269
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peachtree City Obstetrics And Gynecology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Peachtree City Obstetrics And Gynecology, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Karen Greene, M.D.
Obstetrics/Gynecology
NPI 1720177181
210 CLOVER REACH
Peachtree City, GA 30269
(770) 487-9604
✔ PECOS✔ Accepts MedicareSame address
Deanna Guthrie, M.D.
Obstetrics/Gynecology
NPI 1548359813
210 CLOVER REACH
Peachtree City, GA 30269
(770) 487-9604
✔ PECOS✔ Accepts MedicareSame address
Mironda Williams, M.D.
Obstetrics/Gynecology
NPI 1780773085
210 CLOVER REACH
Peachtree City, GA 30269
(770) 487-9604
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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) 11D0257955

Peachtree City Obstetrics And Gynecology PC · Peachtree City, GA
Active · expires Dec 22, 2027
CLIA Number11D0257955
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDeanna Guthrie MD
Laboratory Phone(770) 487-9604
Laboratory LocationPeachtree City Obstetrics And Gynecology PC210 Clover Reach, Peachtree City, GA 30269
CLIA data matches this NPI record on: Address 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 for Provider-Performed Microscopy Procedures (PPMP) 11D2074468

Peachtree City Obstetrics And Gynecology, PC · Newnan, GA
Active · expires Mar 10, 2028
CLIA Number11D2074468
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorDeanna E. Guthrie
Laboratory Phone(770) 487-9604
Laboratory LocationPeachtree City Obstetrics And Gynecology, PC775 Poplar Road, Suite #360, Newnan, GA 30265
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.

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 City Obstetrics And Gynecology, P.C.'s NPI number?

The NPI number for Peachtree City Obstetrics And Gynecology, P.C. is 1447340401. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Peachtree City Obstetrics And Gynecology, P.C. located?

Peachtree City Obstetrics And Gynecology, P.C. is located at 210 Clover Reach, Peachtree City, GA 30269. The listed phone number is (770) 487-9604.

What is Peachtree City Obstetrics And Gynecology, P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peachtree City Obstetrics And Gynecology, P.C. enrolled in Medicare?

Yes. Peachtree City Obstetrics And Gynecology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peachtree City Obstetrics And Gynecology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Peachtree City Obstetrics And Gynecology, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peachtree City Obstetrics And Gynecology, P.C. hold CLIA laboratory certificates?

Yes. 2 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 City Obstetrics And Gynecology, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.