JOHN CHARLES PEACOCK JR. (NPI# 1700883725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700883725 |
| Entity Type | Individual |
| Full Name | JOHN CHARLES PEACOCK JR. |
| Credential | M.D. |
| Practice Address |
1118 Ross Clark Cir 500 Dothan AL 36301-3001 |
| Practice Telephone | 3347944159 |
| Practice Fax Number | 3347927019 |
| Mailing Telephone | 3347944159 |
| Mailing Fax Number | 3347927019 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 00023947 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1780697722 | John C. Peacock | Counselor | 321 Port Dr, Madison, TN 37115-3424 | 2006-08-14 |
| 1780213926 | John Peacock | Student in an Organized Health Care Education/Training Program | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2020-04-08 |
| 1972819167 | John Michael Peacock | Case Manager/Care Coordinator | 456 Elm Ave, Long Beach, CA 90802-2426 | 2010-08-25 |
| 1306982921 | John David Peacock | Dentist | 24 Waleska St, Canton, GA 30114-2739 | 2007-01-30 |
| 1699840991 | John Martin Peacock | Dentist | 320 N Mclean Blvd, Elgin, IL 60123 | 2006-11-21 |
| 1881763613 | John Edward Peacock IIi | Family Medicine | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2006-11-07 |
| 1285670752 | John Hollis Peacock | Psychiatry & Neurology | 1000 Locust St, Va111, Reno, NV 89502-2597 | 2006-06-21 |
| Street Address |
1118 ROSS CLARK CIR 500 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184912 | Jonathan L. Skinner | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3002 | 2005-06-15 |
| 1104362177 | Phillip Tyler Stanley | Nurse Anesthetist, Certified Registered | 1118 Ross Clark Cir, Dothan, AL 36301-3001 | 2017-01-13 |
| 1306214390 | Kyndal Saunders | Nurse Practitioner | 1118 Ross Clark Cir, Suite #100, Dothan, AL 36301-3001 | 2015-09-08 |
| 1427430974 | Keston Trammell | Nurse Practitioner | 1118 Ross Clark Cir, #100, Dothan, AL 36301-3001 | 2015-06-22 |
| 1033596515 | Premier Cardiology Consultants Inc | Internal Medicine | 1118 Ross Clark Cir, Ste 704, Dothan, AL 36301-3001 | 2015-05-04 |
| 1962890178 | Dothan Internal Medicine, LLC | Specialist | 1118 Ross Clark Cir, Suite 105, Dothan, AL 36301-3001 | 2014-12-23 |
| 1083033286 | John Evans Jr. | Nurse Practitioner | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2014-04-15 |
| 1639591423 | Marla Hodge | Nurse Practitioner | 1118 Ross Clark Cir, Suite 403, Dothan, AL 36301-3001 | 2014-01-13 |
| 1437583598 | Primary Care Consultants, PC | Family Medicine | 1118 Ross Clark Cir, Ste 310, Dothan, AL 36301-3001 | 2013-08-26 |
| 1609200922 | Alexis Fowler Wood | Nurse Practitioner | 1118 Ross Clark Cir, Suite 303, Dothan, AL 36301-3001 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| 1710984950 | Rube R Hundley | Urology | 1245 Westgate Pkwy, Dothan, AL 36303-2151 | 2005-07-01 |
| 1760023634 | Southeastern Urology, PC | Urology | 4300 W Main St Ste 102, Dothan, AL 36305-1306 | 2019-10-02 |
| 1497112692 | Shelor & Hundley Urology PC | Urology | 1245 Westgate Pkwy, Dothan, AL 36303-2151 | 2016-01-20 |
| 1336514389 | Tri-state Urology, P.C. | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-12-02 |
| 1013130186 | Joseph Jason Phillips | Urology | 1118 Ross Clark Cir, 500, Dothan, AL 36301-3001 | 2007-04-10 |
| 1780758359 | Wiregrass Urology, PC | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2006-11-17 |
| 1245202944 | Urological Associates of Dothan,p.a. | Urology | 1118 Ross Clark Cir, Suite 500, Dothan, AL 36301-3001 | 2006-02-06 |
| 1215917745 | Dothan Urology, PC | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2006-01-19 |
| 1043205164 | Mark Allen Byard | Urology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-09-14 |
| Find all providers in DOTHAN | ||||
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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.