| Peachtree City Physicians Group | |
|
1401 Georgian Park Suite 200 Peachtree City GA 30269 | |
| (770) 632-8909 | |
| (770) 632-6175 |
| Full Name | Peachtree City Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Georgian Park, Peachtree City, Georgia |
| Authorized Official Name and Position | Susan D Butler (PRACTICE MANAGER) |
| Authorized Official Contact | 7706328909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree City Physicians Group 1401 Georgian Park Suite 200 Peachtree City GA 30269 Ph: (770) 632-8909 | Peachtree City Physicians Group 1401 Georgian Park Suite 200 Peachtree City GA 30269 Ph: (770) 632-8909 |
| NPI Number | 1013973056 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1850366600 |
|---|---|
| Medicare Enrollment ID | O20040826000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013973056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donna J Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255348710 PECOS PAC ID: 8820012867 Enrollment ID: I20060118000217 |
| Provider Name | Janet Diane Gerard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629029756 PECOS PAC ID: 7618001959 Enrollment ID: I20100823000294 |
| Provider Name | Richard William Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467403303 PECOS PAC ID: 5991770745 Enrollment ID: I20100825000132 |
| Provider Name | Dena Michelle Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003460320 PECOS PAC ID: 6800228040 Enrollment ID: I20191108002859 |
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