Active NPI
Jeannette Marie Peabody, RN
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1598070112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN139608
- Practice address
- 1547 Clifton Rd NE
Atlanta, GA 30322-4008 - Phone
- (404) 712-3930
- NPI assigned
- Aug 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN139608 | GA | Primary |
Addresses
Primary practice location
1547 Clifton Rd NE
Atlanta, GA 30322-4008
Mailing address
2309 Ashleywoods Dr
Tucker, GA 30084-4310
Phone (770) 853-2075
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN139608 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1598070112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 ASHLEYWOODS DR",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844310",
"telephone_number": "770-853-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224008",
"telephone_number": "404-712-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEABODY",
"first_name": "JEANNETTE",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN139608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.