DR. KIRBY WATSON PEDEN (NPI# 1316003197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316003197 |
| Entity Type | Individual |
| Full Name | DR. KIRBY WATSON PEDEN |
| Credential | M.D. |
| Practice Address |
420 E 2nd Ave Suite 103 Rome GA 30161-3209 |
| Practice Telephone | 7065093278 |
| Mailing Telephone | 7065093278 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 046208 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
420 E 2ND AVE SUITE 103 |
| City | ROME |
| State | GA |
| Zip Code | 30161-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699721399 | Floyd Healthcare Management Inc | Hospice Care, Community Based | 420 E 2nd Ave, Suite 105, Rome, GA 30161-3209 | 2006-05-25 |
| 1477915569 | Farrah Gardner | Nurse Practitioner | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2016-03-28 |
| 1134588916 | Julie White | Nurse Practitioner | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2016-02-22 |
| 1417281999 | Lee Caroline Duvall | Nurse Practitioner | 420 E 2nd Ave, Rome, GA 30161-3209 | 2009-09-30 |
| 1851508964 | Jonathan Garrett Gore | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2007-05-17 |
| 1356562185 | Cline Thomas Jackson | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2007-05-01 |
| 1881755833 | Marcia Y Williams | Internal Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-12-13 |
| 1336258268 | Gregory Lee Fisher | Physician Assistant | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-08-30 |
| 1154345353 | Horace Lee Cline | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-07-27 |
| 1710901996 | Jeffrey M Blackmon | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602347 | Tobias Jakobus Wallbrecher | Family Medicine | Via Domenico Silveri 30, Rome, ITALY 00165 | 2016-07-05 |
| 1346648250 | Free Clinic of Rome Georgia Inc | Family Medicine | 101-b John Maddox Drive, Rome, GA 30165-1419 | 2014-12-09 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1164745782 | Michael S. Jackson, Md, PC | Family Medicine | 701 E 2nd Ave Sw, Suite C, Rome, GA 30161-6148 | 2010-03-10 |
| 1477723120 | Michael Edward Gonsalves | Family Medicine | 4159 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2008-03-10 |
| 1013108661 | Alexis Ann Eckard | Family Medicine | 255 W 5th Street, Suite 300, Rome, GA 30165 | 2007-08-08 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| 1265502926 | Thomas H. Pierzchala, M.d., P.C. | Family Medicine | 304a E 2nd Ave, Rome, GA 30161-3222 | 2006-11-09 |
| 1023198066 | Camille Dillard Do Health & Wellness PC | Family Medicine | 900 Erie Blvd W, Rome, NY 13440-2904 | 2006-10-16 |
| 1063504710 | Cheryl Reinhardt | Family Medicine | 5865 New Calhoun Hwy Ne, Rome, GA 30161-8253 | 2006-09-29 |
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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.