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PEACH CARE LLC
NPI 1730598491
Internal Medicine in Folkston, GA

Active since August 07, 2014
2383 THIRD ST, FOLKSTON, GA 31537(912) 496-1155(912) 612-2011 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peach Care Llc NPPES

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

PEACH CARE LLC (NPI 1730598491) is a healthcare organization registered as an internal medicine in Folkston, Georgia and active in the NPI registry since August 2014. The organization lists Maged E Abdelmalik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730598491
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePEACH CARE LLC
Location Address2383 THIRD STFolkston, GA 31537-8917
Mailing Address2383 Third StFolkston, GA 31537-8917 · (912) 496-1155 · Fax (912) 612-2011
Phone(912) 496-1155
Fax(912) 612-2011
Organization SubpartNo
Authorized OfficialMaged E AbdelmalikCeo · (912) 496-1155
Enumeration DateAugust 7, 2014
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1730598491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 55077
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2383 THIRD ST, Folkston, GA 31537
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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)

Peach Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peach Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Maged Abdelmalik, M.D.
Internal Medicine
NPI 1770558470
2383 THIRD ST
Folkston, GA 31537
(912) 496-1155
✔ PECOS✔ Accepts Medicare0.3 mi
Betsy Tanner, MSN-FNP, BC
Nurse Practitioner
NPI 1295387751
2505 LONGHORN RD
Waycross, GA 31501
(912) 269-8467
✔ PECOS35 mi

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

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 Care LLC's NPI number?

The NPI number for Peach Care LLC is 1730598491. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is Peach Care LLC located?

Peach Care LLC is located at 2383 Third St, Folkston, GA 31537. The listed phone number is (912) 496-1155.

What is Peach Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peach Care LLC enrolled in Medicare?

Yes. Peach Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peach Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Peach Care LLC, in Internal Medicine and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peach Care LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.