LEAH PEACOCK


Address: 699 Church St Ne, Suite 300, Marietta, GA 30060-1110
Phone: 7704228700

LEAH PEACOCK (NPI# 1922400514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922400514
Entity Type Individual
Full Name LEAH PEACOCK
Credential CNM
Practice Address 699 Church St Ne
Suite 300
Marietta
GA 30060-1110
Practice Telephone 7704228700
Enumeration Date 2014-09-25
Last Update Date 2014-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
ARNP9204747 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 699 CHURCH ST NE
SUITE 300
City MARIETTA
State GA
Zip Code 30060-1110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780688051 Patrick Melder Otolaryngology 699 Church St Ne, Ste 340, Marietta, GA 30060 2005-06-02
1891160917 Julia Huntington Cook Advanced Practice Midwife 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 2015-12-01
1598139396 Danette Lynn Murner Advanced Practice Midwife 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 2015-11-18
1740697465 Nicole Shields Audiologist 699 Church St Ne, Suite 340, Marietta, GA 30060-1110 2014-07-15
1659610731 Barbara E Oess Nurse Practitioner 699 Church St Ne, Marietta, GA 30060-1110 2013-02-08
1902183742 Wellstar Cardiovascular Medicine, LLC Internal Medicine 699 Church St Ne, Suite 240, Marietta, GA 30060-1110 2011-11-08
1245539378 Wellstar Medical Group, LLC Obstetrics & Gynecology 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 2011-03-15
1538465596 Wellstar Medical Group, LLC Obstetrics & Gynecology 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 2011-02-08
1609186360 Sheema Khan Obstetrics & Gynecology 699 Church St Ne, Ste 220, Marietta, GA 30060-1116 2010-10-15
1003138066 Barbara Zee Goers Audiologist 699 Church St Ne, Suite 340, Marietta, GA 30060-1110 2010-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275793689 Amy Lemoyne Gaynor Nurse Practitioner 699 Church St Ne, Suite 220, Marietta, GA 30060-1110 2008-06-10
1558567271 Carol Bradley Hess Nurse Practitioner 1121 Johnson Ferry Rd, Suite 150, Marietta, GA 30068-5425 2007-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871901090 Carol Lumpkin Nurse Practitioner 15 Porter St East, Winder, GA 30680 2014-07-31
1992138788 Lindley Ann Cone Kent Nurse Practitioner 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 2013-08-15
1881963122 Heather Calhoun Quaile Nurse Practitioner 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 2011-12-15
1275812760 Leah Galloway Pombo Nurse Practitioner 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 2011-08-15
1033315122 Suni Hamm Carroll Nurse Practitioner 1105 N 5th Ave Ne, Rome, GA 30165-2603 2007-06-25
1619189784 Pamela T. Puett Nurse Practitioner 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 2007-05-03
1538201330 Betty S Rhyne Nurse Practitioner 618 E Lamar St, Americus, GA 31709-3738 2007-02-12
1457389751 Katina Catrice Hunter Nurse Practitioner 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 2006-06-28
1912945288 Angela B Townsend Nurse Practitioner 11168 Columbia St, Blakely, GA 39823-3474 2006-06-02
1316900343 Regina C Bogle Nurse Practitioner 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 2006-04-10
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

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.

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