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PEACHTREE OCCUPATIONAL MEDICINE & URGENT CARE
NPI 1942668363
Clinic/Center - Occupational Medicine in College Park, GA

Active since January 30, 2016CLIA 11D2238799 · Waiver
1901 PHOENIX BLVD, SUITE 205, COLLEGE PARK, GA 30349(404) 425-1212(404) 425-1214 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 15, 2016, Feb 12, 2016, Jan 30, 2016 (3 updates tracked since 2016).

About Peachtree Occupational Medicine & Urgent Care NPPES

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

PEACHTREE OCCUPATIONAL MEDICINE & URGENT CARE (NPI 1942668363) is a healthcare organization registered as an occupational medicine in College Park, Georgia and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Tolan E. Mitchell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1942668363
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePEACHTREE OCCUPATIONAL MEDICINE & URGENT CARE
Location Address1901 PHOENIX BLVD, SUITE 205College Park, GA 30349-5063
Mailing Address2001 Peachtree Rd Ne, Suite 705Atlanta, GA 30309-1476
Phone(404) 425-1212
Fax(404) 425-1214
Organization SubpartNo
Authorized OfficialTolan E. MitchellCfo · (404) 355-0743
Enumeration DateJanuary 30, 2016
Last NPPES UpdateJuly 15, 20163 updates tracked since enumeration
✔ NPI 1942668363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1901 PHOENIX BLVD, College Park, GA 30349
Open in Google Maps ↗

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 11D2238799

Peachtree Occupational Medicine · Atlanta, GA
Active · expires Oct 5, 2027
CLIA Number11D2238799
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorClinton Carter
Laboratory Phone(404) 425-1212
Laboratory LocationPeachtree Occupational Medicine1000 Northside Drive, Suite 1400, Atlanta, GA 30318
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

STEPHANIE S APPLEGATE PT
Physical Therapist
1901 PHOENIX BLVD, SUITE 205
COLLEGE PARK, GA 30349
Fulton County (770) 907-1023
PEACHTREE ORTHOPAEDIC CLINIC
Durable Medical Equipment & Medical Supplies
1901 PHOENIX BLVD, SUITE 200
COLLEGE PARK, GA 30349
Fulton County (404) 355-0743
PEACHTREE ORTHOPAEDIC CLINIC, PA
Pharmacy
1901 PHOENIX BLVD, SUITE200-MOD D
COLLEGE PARK, GA 30349
Fulton County (404) 355-0743
PEACHTREE ORTHOAPEDIC CLINIC, P.A.
Pharmacy
1901 PHOENIX BLVD, STE 200-MOD C
COLLEGE PARK, GA 30349
Fulton County (404) 355-0743
DONALD F LANGENBECK JR. M.D.
Physical Medicine & Rehabilitation
1901 PHOENIX BLVD, STE 200
COLLEGE PARK, GA 30349
Fulton County (404) 355-0743
MICHAEL JONATHAN YORK M.D.
Orthopaedic Surgery
1901 PHOENIX BLVD, STE 200
COLLEGE PARK, GA 30349
Fulton County (404) 355-0743
JEANETTE SABUR
Dentist (General Practice)
1901 PHOENIX BLVD
ATLANTA, GA 30349
Fulton County (770) 991-0913
AMRIT PAL SINGH MD
Pathology (Dermatopathology)
1901 PHOENIX BLVD
ATLANTA, GA 30349
Fulton County (800) 994-1030

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 Occupational Medicine & Urgent Care's NPI number?

The NPI number for Peachtree Occupational Medicine & Urgent Care is 1942668363. It was assigned to this organization in the NPPES registry on January 30, 2016.

Where is Peachtree Occupational Medicine & Urgent Care located?

Peachtree Occupational Medicine & Urgent Care is located at 1901 Phoenix Blvd Suite 205, College Park, GA 30349. The listed phone number is (404) 425-1212.

What is Peachtree Occupational Medicine & Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Peachtree Occupational Medicine & Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2238799) is associated with this NPI, valid through October 5, 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 Occupational Medicine & Urgent Care was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.