John M. Peasant Sr., M.D.
Individual provider Active NPI Family Medicine Physician · Clayton, AL
NPI 1376729319 · NPPES record last updated Jan 19, 2008
Key facts
- NPI
- 1376729319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 6600 (AL)
- Practice address
- 379 Highway 239
Clayton, AL 36016-4618 - Phone
- (334) 775-3610
- Fax
- (334) 775-3610
- NPI assigned
- Jan 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6600 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6600 | AL | Yes |
Addresses
Primary practice location
379 Highway 239
Clayton, AL 36016-4618
Mailing address
379 Highway 239
Clayton, AL 36016-4618
Phone (334) 775-3610
Other providers in Clayton, AL
- Natalie Nicole Johnson- Lykes
- Tyler Kenneth Killingsworth
- Travis Neal Miers, Jr.
- Christina Patterson
- Kenyata Patterson
- Phillips Drug Company LLC
- Southeast Alabama Rural Health Associates
- State of Alabama
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
All providers in Clayton, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.