Individual provider Active NPI

Sheri Ann Peacock, D.C.

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1558831701
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5044 Issued in NC
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

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0104-557536VAMDChiropractor

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.

Verify at the official NPI Registry.