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 provides Family Medicine Physician services 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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