PEACH NEUROLOGY
NPI 1811495989
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Suwanee, GA

Active since January 24, 2018
5935 THOROUGHBRED WAY, SUWANEE, GA 30024(847) 691-7788 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Peach Neurology NPPES

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

PEACH NEUROLOGY (NPI 1811495989) is a healthcare organization registered as a neurology with special qualifications in child neurology in Suwanee, Georgia and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Suwanee and lists Kohilavani Velayudam, Director, as its authorized official.

NPPES Registry Identity

NPI1811495989
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NamePEDIATRIC EPILEPSY AND CHILD (PEACH) NEUROLOGY
Location Address5935 THOROUGHBRED WAYSuwanee, GA 30024-1744
Mailing Address5935 Thoroughbred WaySuwanee, GA 30024-1744 · (847) 691-7788
Organization SubpartNo
Authorized OfficialKohilavani VelayudamDirector · (847) 691-7788
Enumeration DateJanuary 24, 2018
Last NPPES UpdateMarch 17, 2018
NPI 1811495989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in GA · 72584
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 72584 (GA)
5935 THOROUGHBRED WAY, Suwanee, GA 30024

Other Names 1

Doing Business AsPeach Neurology

Secondary Practice Location 1

Location 15935 Thoroughbred WaySuwanee, GA 30024-1744 · Phone (847) 691-7788

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

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 Pediatric Epilepsy And Child (peach) Neurology's NPI number?

The NPI number for Pediatric Epilepsy And Child (peach) Neurology is 1811495989. It was assigned to this organization in the NPPES registry on January 24, 2018. The provider is doing business as Peach Neurology.

Where is Pediatric Epilepsy And Child (peach) Neurology located?

Pediatric Epilepsy And Child (peach) Neurology is located at 5935 Thoroughbred Way, Suwanee, GA 30024. The listed phone number is (847) 691-7788.

What is Pediatric Epilepsy And Child (peach) Neurology's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Pediatric Epilepsy And Child (peach) Neurology was last updated on March 17, 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.