NPI age
9 years
Enumerated 2016-06-20
● Active
Type 1 · Individual
Elizabeth Peacock, MD, PHD
Peacock is 1 of 109 emergency medicine providers in Boise and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 59% — 40% of peers are multi-state
Subspecialties
0
51% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
531 Asbury Cir Ste N340
Atlanta, GA 30322
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 4351043092 | MICHIGAN BOARD OF MEDICINE LICENSE NUMBER |
| 01 (GA) | 82563 | GEORGIA MEDICAL BOARD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.