Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEACH STATE RETINA, LLC
Active OrganizationPEACH STATE RETINA, LLC is a Sports Medicine (Emergency) organization located in LOGANVILLE, Georgia. NPI 1568253110 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · LOGANVILLE, GA
Registration Details
- NPI Number
- 1568253110
- Provider Type
- Organization
- NPI Issued
- May 14, 2025 (1.2902220279375 yrs)
- Last Updated
- Oct 27, 2025
Practice Information
- Address
-
3535 HIGHWAY 81LOGANVILLE, GA, 300524336Browse GA providers · Browse ZIP 30052
- Phone
- 7705208303
- Fax
- 4785008205
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.