Peach State Emergency Physicians LLC — NPI 1053170605

Peach State Emergency Physicians LLC’s National Provider Identifier is 1053170605. NPPES classifies this as a Type 2 organization record and reports a practice location in Augusta, Georgia. The primary taxonomy is Emergency Medicine Physician.

Key facts

NPI
1053170605
Entity type
Type 2 organization
NPPES status
Active in the August 10, 2026 snapshot
Practice location
1350 WALTON WAY
Augusta, Georgia 30901
Practice telephone
(706) 722-9011
Primary taxonomy
Emergency Medicine Physician (207P00000X)
Allopathic & Osteopathic Physicians › Emergency Medicine
Enumeration date
March 18, 2024
NPPES last update
July 13, 2026
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Peach State Emergency Physicians LLC?

The NPI listed for Peach State Emergency Physicians LLC in the NPPES snapshot is 1053170605. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1053170605 an individual or organization record?

NPPES records NPI 1053170605 as an Entity Type 2 record, which CMS assigns to an organization health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 1350 WALTON WAY, Augusta, Georgia 30901.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Emergency Medicine Physician (207P00000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of July 13, 2026 and an enumeration date of March 18, 2024, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Augusta, Georgia NPI directory and the Georgia NPI directory.

Other published profiles in Augusta, GA

Up to ten other profiles this site publishes for Augusta, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 50 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.