NPI age
17 years
Enumerated 2008-10-06
● Active
Type 1 · Individual
David Robert Peck, PA-C
Peck is 1 of 2 physician assistant providers in Dacula and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-12-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
17 years
↑ 4 yr above median (13 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Practice location
852 Dacula Rd
Dacula, GA 30019
Mailing address
Po Box 742616
Atlanta, GA 303742616
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1515 River Pl, Ste 280
Braselton, GA 305175602
Location 3
1515 River Pl, Ste 280
Braselton, GA 305175602
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 613680228B |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 640 Physician Assistant providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.