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PEACHTREE ORTHOPAEDIC CLINIC, PC
NPI 1861821027
Durable Medical Equipment & Medical Supplies in Marietta, GA

Active since November 07, 2013CLIA 11D2322056 · Waiver
1163 JOHNSON FERRY RD, SUITE 200, MARIETTA, GA 30068(404) 355-0743(404) 355-2136 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Peachtree Orthopaedic Clinic, Pc NPPES

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

PEACHTREE ORTHOPAEDIC CLINIC, PC (NPI 1861821027) is a healthcare organization registered as a durable medical equipment & medical supplies in Marietta, Georgia and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Maria Sanders, Cfo, as its authorized official.

NPPES Registry Identity

NPI1861821027
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePEACHTREE ORTHOPAEDIC CLINIC, PC
Location Address1163 JOHNSON FERRY RD, SUITE 200Marietta, GA 30068-2764
Mailing Address1163 Johnson Ferry Rd, Suite 200Marietta, GA 30068-2764 · (404) 355-0743 · Fax (404) 355-2136
Phone(404) 355-0743
Fax(404) 355-2136
Organization SubpartNo
Authorized OfficialMaria SandersCfo · (404) 355-0743
Enumeration DateNovember 7, 2013
✔ NPI 1861821027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1163 JOHNSON FERRY RD, Marietta, GA 30068
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CLIA Laboratory Certificates CMS CLIA

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 11D2322056

Peachtree Orthopedics · Marietta, GA
Active · expires Apr 14, 2027
CLIA Number11D2322056
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorAnil Thomas
Laboratory Phone(404) 350-4770
Laboratory LocationPeachtree Orthopedics1163 Johnson Ferry Road, Suite 200, Marietta, GA 30068
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH HARPER COZZO PT
Physical Therapist
1163 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30068
Cobb County (770) 321-0155
MRS. CAROLYN M LAWSON PT
Physical Therapist
1163 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30068
Cobb County (770) 321-0155
ATLANTA ORTHOPAEDIC SPECIALISTS
Orthopaedic Surgery
1163 JOHNSON FERRY RD, SUITE 200
MARIETTA, GA 30068
Cobb County (770) 977-7777
NEUROSPORT PHYSICAL THERAPY & REHABILITATION SPECIALIST INC.
Physical Therapist
1163 JOHNSON FERRY RD, STE 100
MARIETTA, GA 30068
Cobb County (770) 321-0155
JESSICA HICKINBOTHAM PT, MPT
Physical Therapist
1163 JOHNSON FERRY RD
MARIETTA, GA 30068
Cobb County (404) 276-1028
MONICA ELLEN HOLZWARTH M.D
Pediatrics (Adolescent Medicine)
1163 JOHNSON FERRY RD, SUITE 170
MARIETTA, GA 30068
Cobb County (770) 971-5325
GENA MARIE THURSTON PT
Physical Therapist
1163 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30068
Cobb County (770) 321-0155
PEDIATRIC AND ADOLESCENT HEALTHCARE,PC
Pediatrics (Adolescent Medicine)
1163 JOHNSON FERRY RD, SUITE 170
MARIETTA, GA 30068
Cobb County (770) 971-5325

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 Orthopaedic Clinic, PC's NPI number?

The NPI number for Peachtree Orthopaedic Clinic, PC is 1861821027. It was assigned to this organization in the NPPES registry on November 7, 2013.

Where is Peachtree Orthopaedic Clinic, PC located?

Peachtree Orthopaedic Clinic, PC is located at 1163 Johnson Ferry Rd Suite 200, Marietta, GA 30068. The listed phone number is (404) 355-0743.

What is Peachtree Orthopaedic Clinic, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Peachtree Orthopaedic Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2322056) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peachtree Orthopaedic Clinic, PC was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.