Adriana Peck

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN103088 Issued in GA

Practice address

20 Commerce Dr
Blairsville, GA 30512-8913

Phone

(706) 781-6987

NPI assigned

Apr 17, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medmark Treatment Centers of Georgia, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Blairsville, GA
  • NPI 1316186968
  NPD (past)

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1457147365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128913",
            "telephone_number": "706-781-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN103088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parr Family Ventures, LLC
• Sandra Elizabeth Stepp Patton, M.D.
• Shawn Douglas Payne, CADC II
• Peachstate Prosthetics and Orthotics, Inc
• Cassidy Starling Peacock, O.D.
• Jack Wayne Pennington, M.D.
• Johnny C Pitts, PA-C
• Sandra Danette Poppell, DO
• James Portwood, PA-C
• Edwin Currier Pound III, MD

• Licensed Practical Nurse in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.