NPI age
20 years
Enumerated 2006-04-10
● Active
Type 1 · Individual
Barbara T Peacock, FNP
Peacock is 1 of 21 nurse practitioner providers in Vidalia and 1 of 3206 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3206 active nurse practitioner providers in Georgia.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
101 Harris Industrial Blvd, Ste C
Vidalia, GA 304748852
Mailing address
Po Box 407
Vidalia, GA 304750407
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1096 Bermuda Run
Statesboro, GA 304580858
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000845115B |
Practice context
Part of a multi-provider practice. 25 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.
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