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

Peachtree Immediate Care Fp, LLC

Organization Family Medicine Physician · NPI 1316433477

Peachtree Immediate Care Fp, LLC is a Family Medicine Physician in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1495 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone: (706) 884-7822
Fax: (706) 884-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18-10206 (GA)

Record details

NPI number1316433477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Malik-Roe — Cfo · (678) 504-6392
Other names Peachtree Immediate Care
NPI enumeratedJuly 2, 2018
Last updated in NPPESJuly 2, 2018
Mailing address1275 Highway 54 W Ste 201, Fayetteville, GA 30214-4538

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