Individual provider Active NPI

Justin Clint McPeak, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1609254051
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN235357 Issued in GA
Practice address
2230 Towne Lake Pkwy
Woodstock, GA 30189-5584
Phone
(770) 676-7887
NPI assigned
May 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN235357 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN235357 GA Primary

Addresses

Primary practice location

2230 Towne Lake Pkwy
Woodstock, GA 30189-5584

Mailing address

8605 Eves Rd
Roswell, GA 30076-3300
Phone (205) 435-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, AZ, WA, NM5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20260429001087 FL Practitioner - Nurse Practitioner 5294020335 Reassigns benefits to 1 organization
I20260429001274 MA Practitioner - Nurse Practitioner 5294020335 Reassigns benefits to 1 organization
I20260506000705 AZ Practitioner - Nurse Practitioner 5294020335 Reassigns benefits to 1 organization
I20260506003135 WA Practitioner - Nurse Practitioner 5294020335 Reassigns benefits to 1 organization
I20260617001481 NM Practitioner - Nurse Practitioner 5294020335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN235357GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPeak Medical Services, LLC Psychiatric/Mental Health PastSince Mar 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmcpeak21273@direct.emory.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1609254051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 EVES RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763300",
            "telephone_number": "205-435-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895584",
            "telephone_number": "770-676-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPEAK",
        "first_name": "JUSTIN",
        "middle_name": "CLINT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN235357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN235357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.