NPIMap

Individual provider Active NPI

Janica Walden Peavey, M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
National Provider Identifier
1013060904
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
001669 Issued in GA
Practice address
503 Eisenhower Dr
Savannah, GA 31406-2668
Phone
(912) 355-6255
Fax
(912) 355-6256
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 001669 GA Primary

Addresses

Primary practice location

503 Eisenhower Dr
Savannah, GA 31406-2668

Mailing address

503 Eisenhower Dr
Savannah, GA 31406-2668
Phone (912) 355-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110711000318 GA Practitioner - Diagnostic Radiology 1658459102 Reassigns benefits to 4 organizations
I20260318002120 FL Practitioner - Diagnostic Radiology 1658459102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Waycross, GA 31501-6357
Phone (904) 399-5550

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Radiology, LLC CurrentSince Jul 21, 2024 Accepting new patients
Riverside Imaging Specialists, LLC CurrentSince Apr 1, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 21, 2025 Accepting new patients
Coastal Imaging Solutions LLC CurrentSince Mar 22, 2017 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
American Health Imaging of Georgia, LLC PastSince Apr 18, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

9459 Highway 5
Ste R
Douglasville, GA 30135

6025 Professional Pkwy
Ste 104
Douglasville, GA 30134
Phone (770) 444-9981

105 Grand Central Blvd
Ste 106
Pooler, GA 31322
Phone (912) 355-6255

503 Eisenhower Dr
Savannah, GA 31406
Phone (912) 355-6255

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

  • Direct secure messaging: janica.peavey.1@16403.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23328/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1013060904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062668",
            "telephone_number": "912-355-6255",
            "fax_number": "912-355-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062668",
            "telephone_number": "912-355-6255",
            "fax_number": "912-355-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVEY",
        "first_name": "JANICA",
        "middle_name": "WALDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.