MEDICARE: PEACHTREE REHAB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1053282343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACHTREE REHAB

Provider Business Mailing Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5087
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5087
Country	:	US
Telephone Number	:	678-528-1334
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK LIPSCHITZ
Credential	:
Telephone Number	:	678-400-4878

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

Similar Medicare Providers

1578434841 — NEUROMED USA LLC
Practice Location Address:

400 INTERSTATE NORTH PKWY SE STE 1125
ATLANTA, GA
30339-5087

Practice Phone: 678-528-1334
Practice Fax:

1649141946 — TELEVISIT MD
Practice Location Address:

400 INTERSTATE NORTH PKWY SE STE 1125
ATLANTA, GA
30339-5087

Practice Phone: 678-528-1334
Practice Fax:

1578416095 — GARDEN GYNECOLOGY & WELLNESS GROUP LLC
Practice Location Address:

4300 PACES FERRY RD SE STE 500
ATLANTA, GA
30339-5714

Practice Phone: 470-750-7573
Practice Fax: 470-750-6722

1144653486 — LEOPOLD BINN KIM P.T.
Practice Location Address:

2525 BRIDLEWOOD LN SE
ATLANTA, GA
30339-1975

Practice Phone: 770-335-5551
Practice Fax:

1265829790 — FAVOR BOFOTOLA-AKEMBA LCSW
Practice Location Address:

1755 THE EXCHANGE SE
ATLANTA, GA
30339-7400

Practice Phone: 678-831-8057
Practice Fax:

1760335160 — TIEARA LEEANN SMITH MSW
Practice Location Address:

1755 THE EXCHANGE SE
ATLANTA, GA
30339-7400

Practice Phone: 404-789-7313
Practice Fax:

Directions to “PEACHTREE REHAB ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.