Jeremiah Daniel Peck, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-094883 Issued in AL

Practice address

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804

Phone

(205) 989-1080

Fax

(205) 989-1087

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians

Medical West Hospital Authority, an Affiliate of Uab Health SystemGroup PAC ID 6406865427, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
• Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114
• University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score

81.6 of 100Reported as group

Quality

61.85

Promoting interoperability

97

Improvement activities

40

Cost

79.3

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

58.1

Promoting interoperability

96

Improvement activities

40

Cost

72

Merit-based Incentive Payment System (MIPS)

Final score

76.94 of 100Reported as group

Quality

56.16

Promoting interoperability

86

Improvement activities

40

Cost

78.63

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Sylacauga Health Care Authority

  dba dba Coosa Valley Medical Center

  • Family Medicine Physician
  • Sylacauga, AL
  • NPI 1124235320
  Medicare reassignment Care Compare group NPD
• Medical West Hospital Authority, an Affiliate of Uab Health System

  dba UAB Medical West

  • Multi-Specialty Clinic/Center
  • Bessemer, AL
  • NPI 1952483729
  Medicare reassignment Care Compare group
• Ambulatory Anesthesia & Pain Medicine, P.C.

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1154371839
  Medicare reassignment NPD
• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1851371850

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Birmingham Gastroenterology Associates PC

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1366406514
  Medicare reassignment NPD
• Gastroenterology Associates of North-Central Alabama Inc

  • Specialist
  • Birmingham, AL
  • NPI 1528080595
  Medicare reassignment NPD
• Southern Perioperative Services P C

  • Anesthesiology Physician
  • Hoover, AL
  • NPI 1740233394
  Medicare reassignment NPD
• Anesthesiologists Associated PC

  dba SAM Critical Response Service

  • Critical Care Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1396353280
  NPD
• Birmingham Gastroenterology Associates PC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1861926131

  Nurse Anesthetist, Certified Registered

  NPD
• Gastroenterology Associates of North-Central Alabama Inc

  dba Southeast Gastro

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1912446105

  Nurse Anesthetist, Certified Registered

  NPD
• Sylacauga Health Care Authority

  dba CVMC Anesthesia

  • Anesthesiology Physician
  • Sylacauga, AL
  • NPI 1831676485
  NPD
• The Sylacauga Health Care Authority

  dba Coosa Valley Specialty Pharmacy

  • Community/Retail Pharmacy
  • Sylacauga, AL
  • NPI 1689380800
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical West Hospital Authority, an Affiliate of Uab Health System

  dba UAB Medical West

  • General Acute Care Hospital
  • Bessemer, AL
  • NPI 1790896710
  Care Compare affiliation
• Sylacauga Health Care Authority Inc

  dba Coosa Valley Medical Center

  • Rural Acute Care Hospital
  • Sylacauga, AL
  • NPI 1972527265
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1154435824
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437210986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE RD",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352166101",
            "telephone_number": "205-989-1080",
            "fax_number": "205-989-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BROOKWOOD MEDICAL CTR DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096804",
            "telephone_number": "205-989-1080",
            "fax_number": "205-989-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JEREMIAH",
        "middle_name": "DANIEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-094883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Pearson, OTR-L
• Patrick Reid Peavy, M.D.
• Shania Peavy, RBT
• Aeryn Easterling Peck, NP
• Donna Peck, CRNP
• Nicholas A Peck, CRNA
• Valerie E. Peck, CRNA
• Pediatric & Adult Asthma and Allergy, P.C
• Pediatric and Adolescent Dentistry, LLC
• Pediatric Anesthesia Associates PC

• Certified Registered Nurse Anesthetist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.