Billy S Pealock, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11444 Issued in GA

Practice address

3059 Lawrenceville Hwy Ste D
Lawrenceville, GA 30044-6426

Phone

(770) 931-9996

Fax

(770) 931-1984

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679669683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 LAWRENCEVILLE HWY STE D",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446426",
            "telephone_number": "770-931-9996",
            "fax_number": "770-931-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 LAWRENCEVILLE HWY STE D",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446426",
            "telephone_number": "770-931-9996",
            "fax_number": "770-931-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEALOCK",
        "first_name": "BILLY",
        "middle_name": "S",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree MRI LLC
• Aurora J. Peacock, MD
• Belinda J Peacock, NP
• Charles Leroy Peacock, CRNA
• Heather Peak, RN
• Jennifer Charlene Pean-Winston, FNP-C
• David Edward Pearson, DMD
• Dominique Daielle Peart, CRNA
• Jenna Michelle Peavy
• Denise B Pecht, MD

• General Practice Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.