Active NPI
Gregory Richard Peavy II, M.S.
- Professional Counselor
- Foley, AL
National Provider Identifier
1083088843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3404
- Practice address
- 7526 Coopers Landing Rd
Foley, AL 36535-5148 - Phone
- (251) 949-6429
- Fax
- (251) 949-7903
- NPI assigned
- Nov 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3404 | AL | Primary |
Addresses
Primary practice location
7526 Coopers Landing Rd
Foley, AL 36535-5148
Mailing address
7526 Coopers Landing Rd
Foley, AL 36535-5148
Phone (251) 949-6429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3404 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1083088843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7526 COOPERS LANDING RD",
"city": "FOLEY",
"state": "AL",
"postal_code": "365355148",
"telephone_number": "251-949-6429",
"fax_number": "251-949-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7526 COOPERS LANDING RD",
"city": "FOLEY",
"state": "AL",
"postal_code": "365355148",
"telephone_number": "251-949-6429",
"fax_number": "251-949-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAVY",
"first_name": "GREGORY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
- Mary Christine Patterson, FNP
- Lisa M Pattison, MD
- Harrison B Pearl, M.D.
- Mark David Pease, MD
- Mark David Pease, M.D.
- Timothy Kent Pellett, OD
- Pensacola Primary Care, Inc. (dba Pensacola Primary Care, Inc.-McKenzie)
- Haley Harper Penton
- Performance Prosthetics & Orthotics, PL
- Performance Rehab Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.