Individual provider Active NPI

Jeffrey Peacock

  • Radiation Oncology Physician
  • Show Low, AZ
National Provider Identifier
1033566534
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD.42458 Issued in AL
Practice address
2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954
Phone
(928) 537-6937
Fax
(928) 532-8798
NPI assigned
May 16, 2016
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 42458 AL
Radiation Oncology Physician 2085R0001X 98422 GA
Radiation Oncology Physician 2085R0001X MD.42458 AL Primary

Addresses

Primary practice location

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954

Mailing address

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954
Phone (928) 537-6947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210721001431 AL Practitioner - Radiation Oncology 5294138772 Reassigns benefits to 3 organizations
I20240131000434 GA Practitioner - Radiation Oncology 5294138772 Reassigns benefits to 2 organizations
I20250828004424 AZ Practitioner - Radiation Oncology 5294138772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Univ of Central Florida, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

2500 E Hunt Dr
Suite H
Show Low, AZ 85901-7954
Phone (928) 537-6937

308 Deep S Farm Rd
Suite 100
Blairsville, GA 30512-2218
Phone (706) 835-3030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.42458ALMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 29, 2021 Accepting new patients
Summit Healthcare Association Radiation Oncology CurrentSince Sep 1, 2025 Accepting new patients
North Atlanta Professional Services LLC Radiation Oncology CurrentSince Apr 1, 2025 Accepting new patients
Birmingham Radiological Group PC Radiation Oncology CurrentSince Jan 1, 2022 Accepting new patients
Birmingham Radiological Group, PC CurrentSince Jan 1, 2022 Accepting new patients
Russell Oncology JV Physicians Services LLC Radiation Oncology CurrentSince Jun 21, 2022 Accepting new patients
Radiotherapy Clinics of Georgia,LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

1700 6th Ave S
Birmingham, AL 35233
Phone (205) 934-4277

400 20th St S
Birmingham, AL 35233
Phone (205) 975-2347

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2500 E Hunt Dr
Ste H
Show Low, AZ 85901
Phone (520) 537-0200

2500 E Hunt Dr
Ste Hj
Show Low, AZ 85901
Phone (928) 537-6937

308 Deep South Farm Rd
Blairsville, GA 30512
Phone (678) 493-2527

308 Deep South Farm Rd
#100
Blairsville, GA 30512
Phone (706) 835-3030

308 Deep South Farm Rd
Ste 100
Blairsville, GA 30512
Phone (706) 835-3030

1293 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 682-2099

7174 Wheat St NE
Covington, GA 30014
Phone (678) 515-5963

2349 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 320-1550

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1770 Presidential Cir
Snellville, GA 30078
Phone (770) 979-3705

Interoperability endpoints

  • Direct secure messaging: jeffreypeacock@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: jspeacock@direct.uabmedicine.org

Organizations & group practices 7

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

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1033566534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6947",
            "fax_number": "928-532-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937",
            "fax_number": "928-532-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "42458",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "98422",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "MD.42458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.