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PEACHTREE IMMEDIATE CARE
NPI 1982190039
Family Medicine in Oakwood, GA

Active since July 02, 2018CLIA 11D2121197 · Waiver
3885 MUNDY MILL RD STE 114, OAKWOOD, GA 30566(678) 971-1892(678) 971-1895 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Immediate Care NPPES

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

PEACHTREE IMMEDIATE CARE (NPI 1982190039) is a healthcare organization registered as a family medicine in Oakwood, Georgia and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Andrea Malik-roe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982190039
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEACHTREE IMMEDIATE CARE FP, LLC
Location Address3885 MUNDY MILL RD STE 114Oakwood, GA 30566-3432
Mailing Address1275 Highway 54 W Ste 201Fayetteville, GA 30214-4538 · (678) 688-9685 · Fax (770) 626-3791
Phone(678) 971-1892
Fax(678) 971-1895
Organization SubpartNo
Authorized OfficialAndrea Malik-roeCfo · (678) 504-6392
Enumeration DateJuly 2, 2018
✔ NPI 1982190039 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 · INV-3-18-12009
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.
3885 MUNDY MILL RD STE 114, Oakwood, GA 30566
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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

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 11D2121197

Peachtree Immediate Care - Oak · Oakwood, GA
Active · expires Oct 31, 2026
CLIA Number11D2121197
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorKris A. Manlove-Simmons
Laboratory Phone(678) 971-1892
Laboratory LocationPeachtree Immediate Care - Oak3885 Mundy Mill Road, #114, Oakwood, GA 30566
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

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

SHEENA MAKERRIN MCEACHIN FNP
Nurse Practitioner (Family)
3885 MUNDY MILL RD STE 114
OAKWOOD, GA 30566
Hall County (678) 971-1892

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 1982190039. 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 3885 Mundy Mill Rd Ste 114, Oakwood, GA 30566. The listed phone number is (678) 971-1892.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2121197) is associated with this NPI, valid through October 31, 2026. 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 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.