TIMOTHY A PECK DC PC (NPI# 1891268439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891268439 |
| Entity Type | Organization |
| Organization Name | TIMOTHY A PECK DC PC |
| Practice Address |
2934 Point Mallard Pkwy Se # B2 Decatur AL 35603-5700 |
| Mailing Address |
14608 Waterview Ln Athens AL 35613-1606 |
| Practice Telephone | 2565849554 |
| Mailing Telephone | 6189775419 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | DR. TIMOTHY A PECK (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6189775419 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Year | Doing Business As Name - Organization |
| Street Address |
2934 POINT MALLARD PKWY SE # B2 |
| City | DECATUR |
| State | AL |
| Zip Code | 35603-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621590 | Ericka Gonzalez-mercado | Chiropractor | 301 S Washburn St Ste D, Decatur, TX 76234-1658 | 2020-02-20 |
| 1811531684 | Kealy Olvera | Chiropractor | 3910 Flat Shoals Pkwy, Decatur, GA 30034-7510 | 2019-11-04 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1437700515 | Cara Gilligan | Chiropractor | 409 Mead Rd Unit 3, Decatur, GA 30030-3639 | 2019-09-20 |
| 1164078440 | Jodi K Green | Chiropractor | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-08-13 |
| 1134771389 | Keysa Bailey | Chiropractor | 1089 Columbia Dr, Decatur, GA 30030-4728 | 2019-07-09 |
| 1245798545 | Xavier Ortiz Valle | Chiropractor | 1585 Church St Ste 665, Decatur, GA 30033-6059 | 2019-03-05 |
| 1619434388 | Peter William Vercellino | Chiropractor | 3350 N Water St Ste A, Decatur, IL 62526-2353 | 2019-02-28 |
| 1487046066 | Haley Wilkins | Chiropractor | 2605 Danville Rd Sw, Decatur, AL 35603-4216 | 2015-02-19 |
| 1467877241 | Audra M. Smith | Chiropractor | 627 E College Ave, Suite H, Decatur, GA 30030-5320 | 2014-03-03 |
| Find all providers in DECATUR | ||||
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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.