P Praxis·MD
● Active Type 1 · Individual

DR. Michael Todd Peacock, M.D.

Internal Medicine·Eastman, GA· NPI 1487636742 · Enumerated 2005 · 20 years on NPI
Peacock is 1 of 11 internal medicine providers in Eastman and 1 of 5027 in Georgia.
NPI age
20 years
Enumerated 2005-11-14
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
911 Plaza Ave, Suite C
Eastman, GA 310236785
📞 4783745774fax 4783749112
Mailing address
911 Plaza Ave, Suite C
Eastman, GA 310236785
📞 4783745774fax 4783749112

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #040752 taxonomy 207R00000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #040752 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 00742409A

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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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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