M. Todd Peacock, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

M. TODD PEACOCK, M.D., P.C.

Practice address

911 Plaza Ave
Suite C
Eastman, GA 31023-6785

Phone

(478) 374-5774

Fax

(478) 374-9112

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Michael Todd PeacockNPI 1487636742

Title

President

Phone

(478) 374-5774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Michael Todd Peacock, M.D.

  • Internal Medicine Physician
  • Eastman, GA
  • NPI 1487636742

  GA, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1295940419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "address_2": "SUITE C",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785",
            "telephone_number": "478-374-5774",
            "fax_number": "478-374-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "address_2": "SUITE C",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785",
            "telephone_number": "478-374-5774",
            "fax_number": "478-374-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. TODD PEACOCK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-374-5774"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LHCG Ccxxvi, LLC
• Vickie Locke
• Brittany Chandler Lord, MD
• Lou R. Barker M.D., P.C.
• Michael Lowery
• Phillip John Mannella, D.C.
• Marty Mathis, PSY D
• Alan P McMahan, MD
• Sandra Nichole McNeal, FNP-C
• Thomas Milton Meadows, M.D.

• All providers in Eastman, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.