Active NPI
Stephanie Olga Peacock, MD
- Diagnostic Radiology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2019-00925
- Practice address
- 1331 N Elm St Ste 200
Greensboro, NC 27401-6304 - Phone
- (336) 274-6682
- Fax
- (336) 274-8097
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21931 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 2019-00925 | NC | Primary |
Addresses
Primary practice location
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Mailing address
PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Miami, LM Miller School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 274-6682
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000
1248 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 274-6682
1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682
315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 274-6682
3518 Drawbridge Pkwy
Greensboro, NC 27410-8432
Phone (336) 274-6682
618 S Main St
Reidsville, NC 27320-5020
Phone (336) 274-6682
839 Durham Rd
Wake Forest, NC 27587-8793
Phone (202) 725-7738
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21931 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiology & Imaging LLC | Multi-Specialty | Current | Accepting new patients |
| Wake Forest Health Network, LLC | Multi-Specialty | Current | Accepting new patients |
| Wake Forest Health Network LLC | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Services of North Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cornerstone Healthcare LLC | Multi-Specialty | Current | Accepting new patients |
| Greensboro Radiology, PA | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
223 W Ward St
Ste B
Asheboro, NC 27203
Phone (336) 702-1731
223 W Ward St
#B
Asheboro, NC 27203
4030 Oaks Professional Pkwy
Ste 101
Burlington, NC 27215
315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999
1126 N Church St
Ste 200
Greensboro, NC 27401
Phone (336) 379-0941
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1265469795
Multi-Specialty
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1821035999
Multi-Specialty
-
- Radiology Clinic/Center
- Raleigh, NC
- NPI 1457300089
Diagnostic Radiology
-
- Radiology Clinic/Center
- Clayton, NC
- NPI 1548454127
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1952327934
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1659743334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85378",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895378",
"telephone_number": "336-274-6682",
"fax_number": "336-274-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 N ELM ST STE 200",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274016304",
"telephone_number": "336-274-6682",
"fax_number": "336-274-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "STEPHANIE",
"middle_name": "OLGA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "21931",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2019-00925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.