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PEACHTREE IMMEDIATE CARE
NPI 1538655683
Family Medicine in Newnan, GA

Active since July 02, 2018CLIA Certified · 2 labs
371 NEWNAN CROSSING BYPASS, SUITE 103, NEWNAN, GA 30265(770) 400-8410(770) 400-8414 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peachtree Immediate Care NPPES

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

PEACHTREE IMMEDIATE CARE (NPI 1538655683) is a healthcare organization registered as a family medicine in Newnan, Georgia and active in the NPI registry since July 2018. The organization holds 2 active CLIA laboratory certificates and lists Andrea Malik-roe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538655683
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEACHTREE IMMEDIATE CARE FP, LLC
Location Address371 NEWNAN CROSSING BYPASS, SUITE 103Newnan, GA 30265-1067
Mailing Address1275 Highway 54 W Ste 201Fayetteville, GA 30214-4538 · (678) 688-9685 · Fax (770) 626-3791
Phone(770) 400-8410
Fax(770) 400-8414
Organization SubpartNo
Authorized OfficialAndrea Malik-roeCfo · (678) 504-6392
Enumeration DateJuly 2, 2018
✔ NPI 1538655683 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 · A-16523
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.
371 NEWNAN CROSSING BYPASS, Newnan, GA 30265
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Other Names 1

Doing Business AsPeachtree Immediate Care

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 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 11D2119713

Peachtree Immediate Care · Newnan, GA
Active · expires Oct 3, 2026
CLIA Number11D2119713
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorKris A. Manlove-Simmons
Laboratory Phone(770) 400-8410
Laboratory LocationPeachtree Immediate Care371 Newnan Crossing Bypass, Newnan, GA 30265
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2119714

Peachtree Immediate Care · Newnan, GA
Active · expires Oct 3, 2026
CLIA Number11D2119714
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorKris A. Manlove-Simmons
Laboratory Phone(770) 400-8410
Laboratory LocationPeachtree Immediate Care371 Newnan Crossing Bypass, Newnan, GA 30265
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Immediate Care Fp, LLC's NPI number?

The NPI number for Peachtree Immediate Care Fp, LLC is 1538655683. It was assigned to this organization in the NPPES registry on July 2, 2018. The provider is doing business as Peachtree Immediate Care.

Where is Peachtree Immediate Care Fp, LLC located?

Peachtree Immediate Care Fp, LLC is located at 371 Newnan Crossing Bypass Suite 103, Newnan, GA 30265. The listed phone number is (770) 400-8410.

What is Peachtree Immediate Care Fp, LLC's specialty?

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

Does Peachtree Immediate Care Fp, 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.

When was this NPI record last updated?

The NPPES record for Peachtree Immediate Care Fp, LLC was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.