Peachtree Primary Care Pc in Roswell, GA - Medicare Family Medicine

Peachtree Primary Care Pc is a medicare enrolled primary clinic (Family Medicine) in Roswell, Georgia. The current practice location for Peachtree Primary Care Pc is 1570 Old Alabama Rd, Roswell, Georgia. For appointments, you can reach them via phone at (770) 676-6838. The mailing address for Peachtree Primary Care Pc is 1570 Old Alabama Rd, Suite 105, Roswell, Georgia and phone number is (770) 676-6838.

Peachtree Primary Care Pc is licensed to practice in Georgia (license number 065787). The clinic also participates in the medicare program and its NPI number is 1437428331. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 676-6838.

Contact Information

	Peachtree Primary Care Pc
	1570 Old Alabama Rd Roswell GA 30076-2107
	(770) 676-6838
	(770) 676-6840

Map and Direction

Primary Care Clinic Profile

Full Name	Peachtree Primary Care Pc
Speciality	Family Medicine
Location	1570 Old Alabama Rd, Roswell, Georgia
Authorized Official Name and Position	Anila H Qidwai (OWNER)
Authorized Official Contact	7706766838
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Peachtree Primary Care Pc 1570 Old Alabama Rd Suite 105 Roswell GA 30076-2107 Ph: (770) 676-6838	Peachtree Primary Care Pc 1570 Old Alabama Rd Roswell GA 30076-2107 Ph: (770) 676-6838

NPI Details:

NPI Number	1437428331
Provider Enumeration Date	12/21/2011
Last Update Date	05/04/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	4587821616
Medicare Enrollment ID	O20120201000564

Medical Identifiers

Medical identifiers for Peachtree Primary Care Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437428331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	065787 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Peachtree Primary Care Pc acts as a billing entity for following providers:

Provider Name	Anila Qidwai
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1982614665 PECOS PAC ID: 1254330384 Enrollment ID: I20120201000607

Reviews and Comments

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Peachtree Primary Care Pc - Medicare Primary Care in Roswell, GA