Lakeisha Peake-Brown

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN247895 Issued in GA

Practice address

2570 Blackmon Dr Ste 440-12
Decatur, GA 30033-6196

Phone

(404) 822-0819

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dope Healing

  • Clinical Medical Laboratory
  • Decatur, GA
  • NPI 1457936825

  General Practice

  NPD

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1104401744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SNOW BIRD DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283528",
            "telephone_number": "404-822-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 440-12",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336196",
            "telephone_number": "404-822-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE-BROWN",
        "first_name": "LAKEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN247895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach Healthcare Inc
• Peachtree Immediate Care UC, LLC
• Peachtree Rnfa LLC
• Peachtree Spine & Pain Physicians, Inc
• Rebecca Peacock
• Nichole Kay Peanasky
• Jessica Pearce, PT, DPT
• Pearl Consulting, Inc.
• Courtny Pearson
• Sarah Greer Pearson, NP

• General Practice Registered Nurse in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.