DR. JEFFREY EDWARD PEACOCK (NPI# 1811158439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811158439 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY EDWARD PEACOCK |
| Credential | MD |
| Practice Address |
50 Miller St Ste I Winston Salem NC 27104-4206 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3362772225 |
| Practice Fax Number | 3362272231 |
| Mailing Telephone | 3362772225 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 2012-00459 | NC | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2012-00459 | NC | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
2012-00459 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2012-00459 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NC1806 | 05 | |
| NC | NC MED LICENSE | 2012-00459 | 01 |
| NC | DEA | FP3121821 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Morehead Medical Dr., Suite 225, Charlotte, NC 282042974 | 7043557150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033566534 | Jeffrey Peacock | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Orange Park, FL 32073-5148 | 2016-05-16 |
| 1245514629 | Jeffrey Peacock | Acupuncturist | 385 Main St, Unit D, Longmont, CO 80501-5569 | 2011-10-04 |
| 1972753689 | Jeffrey Frank Peacock | Physician Assistant | 650 Joel Dr, Ft. Campbell, Ky, Fort Campbell, KY 42223-5318 | 2008-09-30 |
| Street Address |
50 MILLER ST STE I |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554631 | Bethany Medical Center | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2018-07-02 |
| 1912115395 | Jennifer Leigh Roux | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2007-05-18 |
| 1225245707 | Christopher Aaron Gilmore | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2007-05-16 |
| 1457451064 | Ernest Sidney Hodges | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2006-09-24 |
| 1376598268 | Carolinas Pain Institute, Pa | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-23 |
| 1679527543 | Robert W Keen | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-22 |
| 1780638163 | James Matthew North | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-20 |
| 1205889938 | Richard Lee Rauck | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305241 | Carolinas Pain Institute, Pa | Pain Medicine | 330 Billingsley Rd Ste 210, Charlotte, NC 28211-5055 | 2020-04-24 |
| 1841767225 | Comprehensive Pain Consultants of The Carolinas, Pllc | Pain Medicine | 108 Monticello Rd, Weaverville, NC 28787-8936 | 2018-10-24 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1891151726 | Latoya Long-gregory | Pain Medicine | 108 S Main St Ste F, Davidson, NC 28036-8096 | 2016-01-07 |
| 1154485977 | Veronica L Alston | Pain Medicine | Joel Health Clinic Bldg 4851, Fort Bragg, NC 28310-0001 | 2006-12-20 |
| 1407860638 | Miles D Hyman | Pain Medicine | 1018 E Main St, Franklin, NC 28734-2676 | 2006-07-27 |
| 1689627200 | Aaron H Gootman | Pain Medicine | 1840 Owen Dr, Fayetteville, NC 28304-1633 | 2006-05-17 |
| 1275511966 | Mark Lucas Phillips | Pain Medicine | 522 N Elam Ave, Ste 203, Greensboro, NC 27403-1151 | 2006-01-04 |
| 1275510570 | David Spivey | Pain Medicine | 2912 Maplewood Ave, Winston-salem, NC 27103-1507 | 2005-12-28 |
| 1326033879 | Steven K Brockman | Pain Medicine | 1112 Yancey St, Shelby, NC 28150-3672 | 2005-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.