Individual provider Active NPI

Deborah Janet Peabody, M.D.

  • Family Medicine Physician
  • Lincolnville, ME
National Provider Identifier
1467514448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
016234 Issued in ME
Practice address
2399 Atlantic Highway
Lincolnville, ME 04849
Phone
(207) 236-4851
Fax
(207) 236-0776
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 016234 ME Primary

Addresses

Primary practice location

2399 Atlantic Highway
Lincolnville, ME 04849

Mailing address

PO Box 87
Lincolnville, ME 04849-0087
Phone (207) 236-4851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000123 ME Practitioner - Hospice/Palliative CarePractitioner - Family PracticePractitioner - Hospitalist 6204824220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016234MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 1, 2020 Accepting new patients
Mainehealth CurrentSince Apr 1, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Waldo County General Hospital Past Accepting new patients

Locations

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

2399 Atlantic Hwy
Lincolnville, ME 04849
Phone (207) 236-4851

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467514448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "048490087",
            "telephone_number": "207-236-4851",
            "fax_number": "207-236-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ATLANTIC HIGHWAY",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "04849",
            "telephone_number": "207-236-4851",
            "fax_number": "207-236-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "DEBORAH",
        "middle_name": "JANET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "016234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnville, ME

Sources for this page

Verify at the official NPI Registry.