PEACH CLINIC
NPI 1497183941
Family Medicine in Cumming, GA
About Peach Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACH CLINIC (NPI 1497183941) is a healthcare organization registered as a family medicine in Cumming, Georgia and active in the NPI registry since October 2013. The organization holds 2 active CLIA laboratory certificates and lists Ketan Ghia, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peach Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Peach Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 of Waiver 11D2071528
My Doctors Clinic, LLC · Cumming, GACertificate of Waiver 11D2080808
My Doctors Clinic, LLC D/B/A Peach Clinic · Cumming, GAFrequently 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 My Doctors Clinic LLC's NPI number?
The NPI number for My Doctors Clinic LLC is 1497183941. It was assigned to this organization in the NPPES registry on October 19, 2013. The provider is doing business as Peach Clinic.
Where is My Doctors Clinic LLC located?
My Doctors Clinic LLC is located at 2320 Atlanta Hwy Suite - 105, Cumming, GA 30040. The listed phone number is (678) 473-0715.
What is My Doctors Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is My Doctors Clinic LLC enrolled in Medicare?
Yes. My Doctors Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Doctors Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to My Doctors Clinic LLC. 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. The largest specialties are Nurse Practitioner (5), Family Practice (1) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does My Doctors Clinic LLC 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.
What insurance does My Doctors Clinic LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list My Doctors Clinic LLC 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 My Doctors Clinic LLC was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Peach Clinic · NPI 1497183941
Family Medicine organization in Cumming, Georgia. Organization record, active in the CMS NPPES registry since October 19, 2013.
## Identity
- **NPI:** 1497183941 (Entity type: Organization)
- **Enumerated:** October 19, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** My Doctors Clinic Llc
- **Organization subpart:** No
- **Authorized official:** Ketan Ghia, MANAGER
## Practice location
- **Address:** 2320 ATLANTA HWY, SUITE - 105, Cumming, GA 30040-6339
- **Phone:** (678) 473-0715
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2014
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497183941) · Data from the CMS NPPES public registry.