LEAH PEACOCK (NPI# 1922400514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
699 CHURCH ST NE SUITE 300 |
City | MARIETTA |
State | GA |
Zip Code | 30060-1110 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30060 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
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 |
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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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.