Peachtree Family Medicine PC
NPI 1679608582 · Family Medicine Physician · Providence, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peachtree Family Medicine PC is a Family Medicine Physician organization in Providence, UT (NPI 1679608582).
Provider details
- NPI number
- 1679608582
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vera Carlson, MD(435) 752-5553
- License
- 5916429-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Frequently asked questions
- What is Peachtree Family Medicine PC's NPI number?
- Peachtree Family Medicine PC's National Provider Identifier (NPI) is 1679608582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peachtree Family Medicine PC?
- Peachtree Family Medicine PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Peachtree Family Medicine PC located?
- Peachtree Family Medicine PC's practice location on file with NPPES is 565 W 465 N Ste 130, Providence, UT 84332-4802.
- What is Peachtree Family Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Peachtree Family Medicine PC is (435) 752-5553.
- Does Peachtree Family Medicine PC accept Medicare?
- Peachtree Family Medicine PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peachtree Family Medicine PC?
- The authorized official listed on Peachtree Family Medicine PC's NPPES record is Vera Carlson, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peachtree Family Medicine PC's NPI active?
- Yes — Peachtree Family Medicine PC's NPI (1679608582) is active in the NPPES registry as of the last update on 2024-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.