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

Peachtree Physical Medicine Group

Organization Rehabilitation Clinic/Center · NPI 1205113065

Peachtree Physical Medicine Group is a Rehabilitation Clinic/Center in Atlanta, Georgia. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1140 Hammond Dr NE Ste 110
Atlanta, GA 30328-5338
Phone: (770) 454-8300
Fax: (770) 986-9962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X

Record details

NPI number1205113065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Wax — Ceo · (770) 454-8300
NPI enumeratedNovember 8, 2011
Last updated in NPPESNovember 8, 2011
Mailing address1140 Hammond Dr Ne, Suite 110, Atlanta, GA 30328-5338

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