NPIMap

Individual provider Active NPI

Peggy Dawn Eckler, N.P.-C

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1649619008
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207743 Issued in GA
Practice address
1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501
Phone
(678) 430-3110
Fax
(678) 928-5955
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN207743 GA Primary

Addresses

Primary practice location

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501

Mailing address

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone (678) 430-3110

Other practice location 1

1287 Sims St
Gainesville, GA 30501-3851
Phone (678) 430-3110

Other practice location 2

1287 Sims St
Gainesville, GA 30501-3851
Phone (678) 430-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131021000323 GA Practitioner - Nurse Practitioner 9234364654 Reassigns benefits to 1 organization
I20200714001920 CO Practitioner - Nurse Practitioner 9234364654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

1818 N Ogden St
Suite 400
Denver, CO 80218-1280
Phone (303) 318-2460

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2020 Accepting new patients
Cardiovascular Clinic of North Georgia PC CurrentSince Aug 23, 2013 Accepting new patients

Locations

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264

1475 Jesse Jewell Pkwy NE
#300
Gainesville, GA 30501
Phone (678) 825-3685

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEHBA

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1649619008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "678-430-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "678-430-3110",
            "fax_number": "678-928-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1287 Sims St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013851",
            "country_code": "US",
            "telephone_number": "678-430-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1287 Sims St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013851",
            "country_code": "US",
            "telephone_number": "678-430-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKLER",
        "first_name": "PEGGY",
        "middle_name": "DAWN",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.