Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peachtree Family Medicine PC

Organization Family Medicine Physician · NPI 1679608582

Peachtree Family Medicine PC is a Family Medicine Physician in Providence, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

565 W 465 N Ste 130
Providence, UT 84332-4802
Phone: (435) 752-5553
Fax: (435) 755-5043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5916429-1205 (UT)

Record details

NPI number1679608582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vera Carlson — Md · (435) 752-5553
NPI enumeratedFebruary 22, 2007
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address169 N Gateway Dr, 170, Providence, UT 84332-9855

Other providers in Providence