OrganizationActive
Pediatric Epilepsy and Child (peach) Neurology
NPI 1811495989 · Neurology with Special Qualifications in Child Neurology Physician · Suwanee, GA
Provider details
- NPI number
- 1811495989
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kohilavani Velayudam, Director(847) 691-7788
- License
- 72584 (GA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 72584 (GA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
5935 Thoroughbred Way
Suwanee, GA 30024-1744
Phone: (847) 691-7788
Street-level locationGet directions
Mailing address
5935 Thoroughbred Way
Suwanee, GA 30024-1744
Other names (DBA / former)
- Doing business as
- Peach Neurology
Additional practice locations (1)
- 5935 Thoroughbred WaySuwanee, GA 30024-1744Phone: (847) 691-7788
Registry dates
- Enumerated
- 2018-01-24
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.