Complete Care Center Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1-092190 Issued in AL

Legal business name

COMPLETE CARE CENTER INC

Practice address

1685 E University Dr Ste E
Auburn, AL 36830-5217

Phone

(334) 501-8867

Fax

(866) 929-4872

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Edward Hurst Peacock, D.C.NPI 1306905807

Title

Owner

Phone

(334) 501-8867

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Hurst Peacock, D.C.

  • Chiropractor
  • Auburn, AL
  • NPI 1306905807
  NPD (past) Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1174861611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E UNIVERSITY DR STE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305217",
            "telephone_number": "334-501-8867",
            "fax_number": "866-929-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E UNIVERSITY DR STE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305217",
            "telephone_number": "334-501-8867",
            "fax_number": "866-929-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 E University Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368305225",
            "country_code": "US",
            "telephone_number": "334-501-8867",
            "fax_number": "866-929-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HURST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-501-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AL",
            "license": "AL2129",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "1-092190",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-092190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Auburn, AL
• Providers in Auburn, AL by specialty
• Physical Medicine & Rehabilitation Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.