Caroline Peacock, CNM, APRN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

24413 Issued in TN

Practice address

300 Stonecrest Blvd Ste 250
Smyrna, TN 37167-6832

Phone

(615) 223-0200

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

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.

• Mistye Taylor MD PLLC

  • Obstetrics Physician
  • Smyrna, TN
  • NPI 1346641156
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1013522903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 250",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676832",
            "telephone_number": "615-223-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 250",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676832",
            "telephone_number": "615-223-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "CAROLINE",
        "credential": "CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "24413",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "24413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C. Patterson, D.D.S.
• Patrice Ariel Patterson
• Cayce Aaron Paul
• Pauline & Thomas Healthcare, Inc
• Pavilion Surgicenter, LLC
• Sam Smiseth Pearson, M.D.
• Samuel Ward Peebles, PT
• Jada Renee Pellegrino
• Chandler Pera Pemberton, M.S., CCC-SLP
• Elizabeth A Pendergrass, D.C.

• Obstetrics & Gynecology Nurse Practitioner in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Obstetrics & Gynecology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.