Active NPI
Trent Joseph Peachey
- Family Nurse Practitioner
- Americus, GA
National Provider Identifier
1114474673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 222478
- Practice address
- 103 Ga Highway 27 E
Americus, GA 31709-3800 - Phone
- (229) 924-8082
- NPI assigned
- Sep 1, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 222478 | GA | Primary |
Addresses
Primary practice location
103 Ga Highway 27 E
Americus, GA 31709-3800
Mailing address
103 Ga Highway 27 E
Americus, GA 31709-3800
Phone (229) 924-8082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003183526A | Medicaid | GA | |
| RN222478 | Other | GA | APRN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 222478 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1114474673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GA HIGHWAY 27 E",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093800",
"telephone_number": "229-924-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GA HIGHWAY 27 E",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093800",
"telephone_number": "229-924-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACHEY",
"first_name": "TRENT",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN 222478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003183526A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "RN222478",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.