P Praxis·MD
● Active Type 1 · Individual

Aurora J. Peacock, MD

Radiology·Lawrenceville, GA· NPI 1124227368 · Enumerated 2007 · 18 years on NPI
Peacock is 1 of 36 radiology providers in Lawrenceville and 1 of 1280 in Georgia.
NPI age
18 years
Enumerated 2007-07-17
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6783124440
Mailing address
Po Box 1746
Indianapolis, IN 462061746
📞 8773834442

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #064240NC license #200700622 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (GA) P00858092 RR MEDICARE
05 (GA) 003104746
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new radiology provider has been added in Lawrenceville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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