A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Ambulatory Fertility Facility | 261QA0006X |
| Family Planning, Non-Surgical | 261QF0050X |
* Indicates primary specialty
| NPI Number | 1083295638 |
| Legal business name LBN |
PEACH STATE MEDICAL PRACTICE, PC |
| Authorized official | FAHIMEH SASAN - (FOUNDING OBGYN) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 04/15/2021 |
| Last updated | 05/20/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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