NPI age
12 years
Enumerated 2013-06-21
● Active
Type 1 · Individual
Debra J Peacock, CCC/SLP
Peacock is 1 of 22 speech-language pathologist providers in Moultrie and 1 of 5327 in Georgia.
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-06-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
12 years
↑ 2 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Practice location
300 Sunset Cir
Moultrie, GA 317686934
Mailing address
114 Buck Trl
Ellerslie, GA 318075219
Specialties
-
Speech-Language Pathologist PrimaryThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | SLP007426 | STATE LICENSE |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- 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.