Peachtree Immediate Care Fp, LLC
NPI 1437194156ActiveOrganization· Family Medicine· Hiram, GA
Family Medicine in Hiram, Georgia, registered in NPPES in June 2006. The authorized official on file is Shandi Faulk, Vice President, Billing Operations. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1437194156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2006 |
| Last updated in NPPES | Sep 24, 2025 |
| Certified by provider | Sep 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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