RICHARD ANTHONY PECKHAM


Address: 3015 Veterans Pkwy S, Moultrie, GA 31788-6705
Phone: 2299854815

RICHARD ANTHONY PECKHAM (NPI# 1174964357) 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) 1174964357
Entity Type Individual
Full Name RICHARD ANTHONY PECKHAM
Other Name ANTHONY DIRZLER
Credential RN
Practice Address 3015 Veterans Pkwy S
Moultrie
GA 31788-6705
Mailing Address 817 Prince Ave
Tifton
GA 31794-4053
Practice Telephone 2299854815
Practice Fax Number 2298906777
Mailing Telephone 2293762859
Enumeration Date 2013-07-16
Last Update Date 2013-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN162464 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers RICHARD PECKHAM

NPI Name Taxonomy Address Enumeration
1750373395 Richard Worth Peckham Internal Medicine 715 N College Ave, El Dorado, AR 71730-4403 2005-08-19

Office Location

Street Address 3015 VETERANS PKWY S
City MOULTRIE
State GA
Zip Code 31788-6705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205809571 Turning Point Care Center LLC Psychiatric Hospital 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2006-02-08
1164050647 Marsha Tillman Carlton Social Worker 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2020-03-30
1538647581 Kelly Suzanne Rychener Nurse Practitioner 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2018-08-01
1053807420 Janett Davis Registered Nurse 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2018-07-09
1255839536 David Griner Social Worker 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2018-02-01
1912365271 Dorothy Stringer Social Worker 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2016-02-02
1194192492 Turning Point Substance Abuse Rehabilitation Facility 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2015-08-22
1801287917 Alesia R Christian Social Worker 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2015-02-11
1518357250 Peggy Yates Social Worker 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2015-02-03
1558769786 Laura Mullis Social Worker 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2014-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295283620 Convenient Rx LLC Pharmacy 640 Veterans Pkwy N, Moultrie, GA 31788 2016-09-14
1861745994 Sherry Marie Mccoy Clinical Nurse Specialist 3015 Veterans Parkaway, Moultrie, GA 31788 2012-10-26
1083874895 Opal Jean M Norman Speech-Language Pathologist 4969 Old Adel Rd, Moultrie, GA 31788-1276 2008-06-16
1558440800 Colquitt County Board of Education Local Education Agency (LEA) 348 Industrial Dr, Moultrie, GA 31788-1842 2006-11-06
1295378982 Jamshaid Mukhtar Cheema Physician Assistant Turning Point Care Center, 3015 Veterans Pkway S, Moultrie, GA 31788-2397 2019-10-24
1508313164 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 378 Veterans Pkwy N, Moultrie, GA 31788-4171 2016-09-01
1518347418 Careconnect Health, Inc. Clinic/Center 358 Veterans Pkwy N, Moultrie, GA 31788-4171 2015-06-05
1528674439 Lindsay Mobley Pharmacist 378 Veterans Pkwy N, Moultrie, GA 31788-4171 2020-09-17
1346727955 Courtney Foy Edwards Pharmacist 378 Veterans Pkwy N, Moultrie, GA 31788-4171 2018-07-26
1538689757 Lauren Milligan Social Worker 358 Veterans Pkwy N, Moultrie, GA 31788-4171 2017-06-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538647581 Kelly Suzanne Rychener Nurse Practitioner 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2018-08-01
1073946117 Mary Ann Anderson-parris Nurse Practitioner 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 2013-08-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740398 Audline Maria Hodnett Nurse Practitioner 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 2020-11-05
1073111845 George Mackel, Pmhnp-bc, LLC Nurse Practitioner 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 2020-10-14
1356958060 Earl Delk Nurse Practitioner 3365 Ridgerock Way, Snellville, GA 30078-4176 2020-09-26
1609482991 Tammy Haskins Bailey Nurse Practitioner 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 2020-09-22
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1376156364 Katrina Ransom Clark Nurse Practitioner 120 Walker Dr Nw, Milledgeville, GA 31061-9561 2020-08-28
1457963746 Evelyn Ahiante Dennis Nurse Practitioner 3325 Emden Ct, Snellville, GA 30039-6047 2020-08-19
1194335620 Jennifer Logan Nurse Practitioner 424 Scotts Way, Augusta, GA 30909-3135 2020-08-10
1750991592 Jamie Rae Mccracken Nurse Practitioner 2538 Gordon Cir Se, Smyrna, GA 30080-8123 2020-08-06
1285244608 Amcare Substance Abuse and Addiction Counseling Nurse Practitioner 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 2020-08-01
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Competitor

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City MOULTRIE
Zip Code 31788

Improve Information

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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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