Kirby Watson Peden (NPI# 1316003197, PAC ID# 8628986239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1316003197 |
| PAC ID by PECOS | 8628986239 |
| Professional Enrollment ID | I20070305000452 |
| Full Name | Kirby Watson Peden |
| Organization Legal Name | ETOWAH EMERGENCY PHYSICIANS, LLC |
| Address |
304 Turner Mccall Blvd Sw Rome GA 30165-5621 |
| Phone Number | 7065095000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1993 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1456635697 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110023 | GORDON HOSPITAL |
| 110054 | FLOYD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 7065095000 | ETOWAH EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | ETOWAH EMERGENCY PHYSICIANS, LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Anderson | Family Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Laura Gowder Williams | Emergency Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| John K Hardwell | Internal Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| William M Garner | Nurse Practitioner | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Cynthia Landers | Nurse Practitioner | Etowah Emergency Physicians, LLC | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 |
| Christopher L Hill | Nurse Practitioner | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Hannah Helton | Nurse Practitioner | Etowah Emergency Physicians, LLC | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 |
| Molly A Vicchrilli | Family Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Timothy Champion | Nurse Practitioner | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Cline T Jackson | Emergency Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Street Address |
304 TURNER MCCALL BLVD SW |
| City | ROME |
| State | GA |
| Zip | 30165-5621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Rooke | Anesthesiology Assistant | Georgia Group Services, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Ashley C Ryan | Anesthesiology | Georgia Group Services, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| James E Perry | Certified Registered Nurse Anesthetist (crna) | Georgia Group Services, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| William E Anderson | Family Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Julie Leanne Holyoak | Nurse Practitioner | Floyd Neonatology Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Kristi W Beach | Certified Registered Nurse Anesthetist (crna) | Georgia Group Services, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Laura Gowder Williams | Emergency Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| John K Hardwell | Internal Medicine | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Christopher B Paul | Anesthesiology | Georgia Group Services, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| William M Garner | Nurse Practitioner | Etowah Emergency Physicians, LLC | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Find all physicians in zip 30165 | |||
| City | ROME |
| Zip Code | 30165 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ROME + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kirby Watson Peden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.