Active NPI
Sheri Ann Peacock, D.C.
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1558831701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5044
- Practice address
- 2544 Somerset Center Dr
Winston Salem, NC 27103-6766 - Phone
- (336) 617-9890
- Fax
- (336) 955-1964
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5044 | NC | Primary |
| Chiropractor | 111N00000X | 0104-557536 | VA |
Addresses
Primary practice location
2544 Somerset Center Dr
Winston Salem, NC 27103-6766
Mailing address
1901 Westridge Rd Ste 100
Greensboro, NC 27410-2425
Phone (336) 617-8113
Other practice location 1
620 N Main St
Blacksburg, VA 24060
Phone (540) 951-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104-557536 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1558831701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 WESTRIDGE RD STE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102425",
"telephone_number": "336-617-8113",
"fax_number": "336-617-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 SOMERSET CENTER DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036766",
"telephone_number": "336-617-9890",
"fax_number": "336-955-1964"
}
],
"practiceLocations": [
{
"address_1": "620 N Main St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "24060",
"country_code": "US",
"telephone_number": "540-951-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACOCK",
"first_name": "SHERI",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5044",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.