NPI age
18 years
Enumerated 2007-10-10
● Active Type 2 · Organization
Peachtree Spine & Pain Physicians
Peachtree Spine & Pain Physicians is 1 of 184 non-pharmacy dispensing site organizations in Georgia.
Primary specialty
Non-Pharmacy Dispensing Site
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Setser
Ceo
Last NPPES update
2008-09-17
Source: monthly bulk 2026-05
How this organization compares
Across 184 active non-pharmacy dispensing site providers in Georgia.
NPI age
18 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
5555 Peachtree Dunwoody Rd Ne, Suite 201
Atlanta, GA 303421703
Mailing address
3607 Old Conejo Rd
Thousand Oaks, CA 913202123
Authorized official
Destry Setser
Ceo
📞 8053750800
Individual providers at this organization
20 individual providers on file at this primary practice address.
- David Adams, PH.D. Psychologist NPI 1598781023
- Thomas Balch, MD Specialist NPI 1548208390
- Mark Baucom, M.D. Dermatology NPI 1831184357
- Christopher Brady, D.M.D. Dentist NPI 1770750366
- Natalie Carrithers, N.P. Nurse Practitioner NPI 1023302668
- Rayden Cody, M.D. Physical Medicine & Rehabilitation NPI 1265457261
- Stuart Cohen, MED EDS Marriage & Family Therapist NPI 1780675785
- Carole Dean, MD Otolaryngology NPI 1972581130
- Maurice Fagan, M.S., DMD Dentist NPI 1801922463
- John Foster, MD Orthopaedic Surgery NPI 1356336655
- Robert Fryer, DDS Dentist NPI 1104881861
- Joe Giletto, M.D. Otolaryngology NPI 1669523874
- Michael Greene, M.D. Physical Medicine & Rehabilitation NPI 1598957250
- Charles Gregory, D.D.S. Dentist NPI 1730461492
- Edmond Griffin, M.D. Specialist NPI 1578688644
- Jeffrey Grossman, M.D. Physical Medicine & Rehabilitation NPI 1104823145
- Mara Grosswald, P.A.-C. Physician Assistant NPI 1538312558
- Delmer Henderson, PAC Specialist NPI 1861645863
- Thomas Jagor, D.D.S. Dentist NPI 1851416143
- Derron Jones, M.D. Physical Medicine & Rehabilitation NPI 1841478971
Specialties
-
Non-Pharmacy Dispensing Site PrimaryA site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.