OrganizationActive
Peachtree Physical Medicine Group
NPI 1205113065 · Rehabilitation Clinic/Center · Atlanta, GA
Provider details
- NPI number
- 1205113065
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Wax, Ceo(770) 454-8300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1140 Hammond Dr Ne
Suite 110
Atlanta, GA 30328-5338
Phone: (770) 454-8300
Fax: (770) 986-9962
Street-level locationGet directions
Mailing address
1140 Hammond Dr Ne
Atlanta, GA 30328-5338
Registry dates
- Enumerated
- 2011-11-08
- Last updated
- 2011-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.