Jere Dillon Peak Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-106280 Issued in AL

Practice address

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Phone

(770) 643-5619

NPI assigned

Dec 10, 2015

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Vaughan Regional Anesthesia LLCGroup PAC ID 2062830128, 6 clinicians

Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians

US Anesthesia Partners of Kansas PAGroup PAC ID 7719245299, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118
• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jere.peak@direct.baptistfirst.org

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

• Premier Anesthesia of Montgomery PC

  • Anesthesiology Physician
  • Montgomery, AL
  • NPI 1780636233

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Kansas PA

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1811415599

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Vaughan Regional Anesthesia LLC

  • Anesthesiology Physician
  • Selma, AL
  • NPI 1639792153
  Medicare reassignment Care Compare group NPD
• Sylacauga Anesthesia PC

  • Anesthesiology Physician
  • Sylacauga, AL
  • NPI 1700843869
  Medicare reassignment NPD
• Tombigbee Healthcare Authority

  dba Whitfield Regional Hospital

  • Specialist
  • Demopolis, AL
  • NPI 1578690327
  Medicare reassignment NPD
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center-Parkway Campus

  • Anesthesiology Physician
  • Selma, AL
  • NPI 1114088846

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Tombigbee Healthcare Authority

  dba the Whit Family Clinic Linden

  • Rural Health Clinic/Center
  • Linden, AL
  • NPI 1225682537
  NPD
• Vaughan Regional Medical Center LLC

  dba Marion Clinic

  • Rural Health Clinic/Center
  • Marion, AL
  • NPI 1770600066
  NPD

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

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center

  • Rural Acute Care Hospital
  • Selma, AL
  • NPI 1871655993
  Care Compare affiliation

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1699140095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "770-643-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "770-643-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "JERE",
        "middle_name": "DILLON",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-106280",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-106280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.