LAMAR B PEACOCK (NPI# 1003828542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003828542 |
| Entity Type | Individual |
| Full Name | LAMAR B PEACOCK |
| Credential | MD |
| Practice Address |
465 N Belair Rd Suite 3-a Evans GA 30809-3188 |
| Mailing Address |
465 N Belair Rd Suite 3a Evans GA 30809-3188 |
| Practice Telephone | 7064471118 |
| Practice Fax Number | 7068262775 |
| Mailing Telephone | 7064471118 |
| Mailing Fax Number | 7068262775 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 034920 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
465 N BELAIR RD SUITE 3-A |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784593 | Stephen Lewis Schmidt | Family Medicine | 465 N Belair Rd, Suite 1c, Evans, GA 30809-3188 | 2005-07-14 |
| 1689145781 | Ashli D Thomas | Internal Medicine | 465 N Belair Rd, Evans, GA 30809-3188 | 2018-12-16 |
| 1265885883 | Clint Lanier Holton | Nurse Practitioner | 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 | 2016-07-19 |
| 1033450820 | Kathryn Ricks Toburen | Nurse Practitioner | 465 N Belair Rd, Suite 1-b, Evans, GA 30809-3188 | 2013-03-05 |
| 1396010427 | Bethany Joy Rudge Gilley | Physician Assistant | 465 N Belair Rd, Suite 1 B, Evans, GA 30809-3188 | 2012-03-22 |
| 1386924157 | Katie Nelson, Lpc, LLC | Counselor | 465 N Belair Rd, Ste 2d, Evans, GA 30809-3188 | 2011-08-24 |
| 1154628451 | Wellpull Corporation of Evans | Durable Medical Equipment & Medical Supplies | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2011-02-22 |
| 1063669315 | Medequip Health Corp | Pharmacy | 465 N Belair Rd, 1a2, Evans, GA 30809-3188 | 2008-08-19 |
| 1023229887 | Margo Louise Henderson | Nurse Practitioner | 465 N Belair Rd, Ste 2b, Evans, GA 30809-3190 | 2007-05-24 |
| 1457565004 | Christopher Patrick Parker | Pharmacist | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587763 | Haven Medical Home PC | Internal Medicine | 4480 Deer Run, Evans, GA 30809-4442 | 2019-06-17 |
| 1780028779 | Sunil Rameshbhai Patel | Internal Medicine | 2020 Vineyard Way, Apt # 610, Evans, GA 30809-9146 | 2013-04-22 |
| 1114107745 | Nadya Homam Fleming | Internal Medicine | 629 Ronald Reagan Dr, Suite C, Evans, GA 30809-7608 | 2007-11-12 |
| 1053518381 | Robert Stanley Botnick | Internal Medicine | 635 Ronald Regan Drive, Evans, GA 30809-7602 | 2007-06-29 |
| 1164632881 | Zhenrong Zhang | Internal Medicine | 465 N Belair Rd Ste 2c, Evans, GA 30809-3190 | 2007-05-23 |
| 1871688697 | Christopher E Henson | Internal Medicine | 447 N Belair Rd Ste 104, Evans, GA 30809-3091 | 2006-10-04 |
| 1639272537 | Stanley T Smith Jr. | Internal Medicine | 465 N Belair Rd Ste 2b, Evans, GA 30809-3190 | 2006-09-06 |
| 1336115187 | Eman Kaldas | Internal Medicine | 4720 Washington Rd, Evans, GA 30809 | 2006-02-23 |
| 1063046456 | Transitional Care Associates Inc | Internal Medicine | 4480 Deer Run, Evans, GA 30809-4442 | 2020-02-25 |
| 1689145781 | Ashli D Thomas | Internal Medicine | 465 N Belair Rd, Evans, GA 30809-3188 | 2018-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.