PEACHSTATE ORTHOPEDICS
NPI 1528217544
Specialist in Peachtree City, GA

Active since September 15, 2008
211 PRIME PT, SUITE 2H, PEACHTREE CITY, GA 30269(770) 631-6410 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About PEACHSTATE ORTHOPEDICS

This page provides the complete NPI Profile along with additional information for Peachstate Orthopedics, a provider established in Peachtree City, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1528217544 assigned on September 2008. The practitioner's primary taxonomy code is 174400000X with license number 036312 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Steven Merritt Wanderman M.d. (President)

NPI
1528217544 Verify this NPI
Provider Name
PEACHSTATE ORTHOPEDICS
Entity Type
Organization
Location Address
211 PRIME PT SUITE 2H PEACHTREE CITY, GA 30269
Location Phone
(770) 631-6410
Mailing Address
211 PRIME PT SUITE 2H PEACHTREE CITY, GA 30269
Mailing Phone
(770) 631-6410
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2008
Last Update Date
09-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
036312
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVEN MERRITT WANDERMAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 631-6410

Reviews for PEACHSTATE ORTHOPEDICS

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dentist (Periodontics)
211 PRIME PT, SUITE B
PEACHTREE CITY, GA 30269
Durable Medical Equipment & Medical Supplies
211 PRIME PT, SUITE 2H
PEACHTREE CITY, GA 30269
Counselor (Professional)
211 PRIME PT, BUILDING 2 SUITE D
PEACHTREE CITY, GA 30269
Pain Medicine (Interventional Pain Medicine)
211 PRIME PT, SUITE #2H
PEACHTREE CITY, GA 30269
Counselor (Mental Health)
211 PRIME PT, BLDG 2, STE.D
PEACHTREE CITY, GA 30269
Anesthesiology
211 PRIME PT, STE H
PEACHTREE CITY, GA 30269
Counselor
211 PRIME PT, BLDG. 2, SUITE D
PEACHTREE CITY, GA 30269
Physical Therapist
211 PRIME PT, SUITE G
PEACHTREE CITY, GA 30269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528217544, enumerated as an "organization" on September 15, 2008.

The provider is located at 211 PRIME PT SUITE 2H PEACHTREE CITY, GA 30269 and the phone number is (770) 631-6410.

Specialist with taxonomy code 174400000X.