Michael Todd Peacock, M.D.
Individual provider Active NPI Internal Medicine Physician · Eastman, GA
NPI 1487636742 · NPPES record last updated Dec 12, 2013
Key facts
- NPI
- 1487636742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 040752 (GA)
- Practice address
- 911 Plaza Ave
Suite C
Eastman, GA 31023-6785 - Phone
- (478) 374-5774
- Fax
- (478) 374-9112
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 15
Owned or controlled facilities with NPI records 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Ultra Health Providers II LLC
Cogent Healthcare of Georgia PC
Heart of Georgia Primary Care, LLC
Practice addresses (Care Compare)
180 Burketts Ferry Rd
Hazlehurst, GA 31539-7132
Phone (731) 394-1145
41 N 5TH St
Glenwood, GA 30428-3701
Phone (912) 532-5102
911 Plaza Ave
Suite C
Eastman, GA 31023-6786
Phone (478) 374-5774
Hospital & facility affiliations
- Adoration Home Health
- Remarkable Hospice
- Coastal Hospice of Georgia
- Bridge Hospice, LLC
- Comfort Care Hospice
- East Georgia Regional Medical Center
- Dorminy Medical Center
- Jeff Davis Hospital
- Dodge County Hospital
- Fairview Park Hospital
- Wrightsville Manor Health and Rehab
- Pleasant View Nursing Center
- Harmony Health and Rehabilitation
- Crossview Care Center
- Altamaha Healthcare Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Glen Eagle Healthcare and Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2015 Jun 1, 2015 |
| Dublinair Health & Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 7, 2025 Feb 7, 2025 |
| Wrightsville Manor Health and Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2024 Feb 1, 2024 |
| Eastman Healthcare & Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2015 Jun 1, 2015 |
| Warrenton Health and Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 21, 2021 Jun 21, 2021 |
| Glenwood Health and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 |
| Harmony Health and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 |
| Pinewood Health and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 |
| Southland Healthcare and Rehab Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2025 Apr 1, 2025 |
| Remarkable Hospice |
Hospice | W-2 Managing Employee | Sep 21, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080514000403 | GA | Practitioner - Internal Medicine | 4981773108 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rabessler MD PC | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current |
Accepting new patients |
| Ultra Health Providers II LLC | Current |
Accepting new patients | |
| M. Todd Peacock, M.D., P.C. | Internal Medicine | Current |
Accepting new patients |
| Heart of Georgia Primary Care, LLC | Current |
Accepting new patients | |
| TB Thunderbolt LLC | Past | Accepting new patients | |
| Westwood Pac LLC | Past | Accepting new patients | |
| CV SNF LLC | Past | Accepting new patients | |
| LC Lumber City LLC | Past | Accepting new patients | |
| HZ SNF LLC | Past | Accepting new patients | |
| Pinewood Healthcare & Rehab LLC | Past | Accepting new patients | |
| SL SNF, LLC | Past | Accepting new patients | |
| LF SNF LLC | Past | Accepting new patients | |
| Global Abbeville, LLC | Past | Accepting new patients | |
| PW SNF LLC | Past | Accepting new patients | |
| SB Tybee LLC | Past | Accepting new patients | |
| Whigham Opco LLC | Past | Accepting new patients | |
| Dublin Health Properties LLC | Past | Accepting new patients | |
| Dodge County Emergency Physicians LLC | Past | Accepting new patients | |
| JV Jeffersonville LLC | Past | Accepting new patients | |
| Lake Crossing Health Center Pac LLC | Past | Accepting new patients | |
| Fitzgerald Opco LLC | Past |
Accepting new patients | |
| Southland Operations LLC | Past | Accepting new patients | |
| TN SNF LLC | Past | Accepting new patients | |
| Global Eastman LLC | Past | Accepting new patients | |
| Selectis Warrenton LLC | Past | Accepting new patients | |
| Am SNF LLC | Past | Accepting new patients | |
| Glenwood Opco LLC | Past | Accepting new patients | |
| GW SNF LLC | Past | Accepting new patients | |
| PHG Wrightsville LLC | Past | Accepting new patients | |
| Os Tybee LLC | Past | Accepting new patients |
Locations
144 Depot St
Buchanan, GA 30113
Phone (770) 646-5512
150 E Peacock St
#A
Cochran, GA 31014
Phone (478) 271-3200
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
911 Plaza Ave
Ste C
Eastman, GA 31023
Phone (478) 231-5948
180 Burketts Ferry Rd
Hazlehurst, GA 31539
Phone (912) 375-3677
402 Bay St E
Pineview, GA 31071
Phone (229) 624-2432
1901 W Screven St
Quitman, GA 31643
Phone (229) 263-6100
Interoperability endpoints
- michael.peacock@mtpm.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/ACDAED/Endpoint/ACDAED
- https://fhir4.healow.com/fhir/r4/AEADBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 040752 | GA | |
| Internal Medicine Physician | 207R00000X | 040752 | GA | Yes |
Addresses
Primary practice location
911 Plaza Ave
Suite C
Eastman, GA 31023-6785
Mailing address
911 Plaza Ave
Suite C
Eastman, GA 31023-6785
Phone (478) 374-5774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00742409A | Medicaid | GA |
Other providers in Eastman, GA
- James L. Parkerson
- Patricia Patterson MD LLC
- Catherine Thompson Patrick
- Keri Ann Paulk
- Emory F Peacock
- Johnny R Peeples
- Michele Lee Pennington
- Debbie Duffee Persinger
- Leslie Phagan
- Katie Lynn Pickens
All providers in Eastman, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.