Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEACHTREE IMMEDIATE CARE FP, LLC
Active
Organization
PEACHTREE IMMEDIATE CARE FP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDI FAULK (VICE PRESIDENT, BILLING OPERATIONS)
(678) 679-6471
Entity
Organization
Contact information
Practice address
3827 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2630
(770) 222-8900
(770) 222-2757
Mailing address
590 LANIER AVE W, FAYETTEVILLE, GA 30214-1504
(678) 688-9685
(770) 626-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
06/17/2006
Last updated
09/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers