OrganizationActive
Peach State Health Plan, Inc
NPI 1013034552 · Health Maintenance Organization · Smyrna, GA
Provider details
- NPI number
- 1013034552
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Herbert Spencer, Compliance Officer
- License
- 12315 (GA)
Practice location
3200 Highlands Pkwy Se
Suite 300
Smyrna, GA 30082-5166
Phone: (678) 556-2300
Fax: (770) 803-0043
Mailing address
3200 Highlands Pkwy Se
Smyrna, GA 30082-5166
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.