P Praxis·MD
● Active Type 2 · Organization

Peach State Providers Group Inc

Physical Therapist·Morrow, GA· NPI 1629111802 · Enumerated 2007 · 19 years on NPI
Peach State Providers Group Inc is 1 of 7225 physical therapist organizations in Georgia.
NPI age
19 years
Enumerated 2007-02-15
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Talley
Physical Therapist
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 7225 active physical therapist providers in Georgia.

NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
7146 Southlake Parkway
Morrow, GA 30260
📞 7709609979fax 7709609662
Mailing address
146 Hawn Road
Fayetteville, GA 30215
📞 7704601494

Authorized official

Brenda R Talley, RPT
Physical Therapist
📞 7709609979

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #1741 taxonomy 225100000X

Identifiers

TypeValueNotes
05 (GA) 00881218A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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