NPI age
5 years
Enumerated 2021-04-29
● Active
Type 1 · Individual
Mary Kathryn Peabody, PA-C
Peabody is 1 of 8 physician assistant providers in Johns Creek and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-12-12
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
5 years
↓ 8 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Practice location
10730 Medlock Bridge Rd
Johns Creek, GA 300972637
Mailing address
Po Box 628231 Mail Code: 5068
Orlando, FL 328628231
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...
Practice context
Part of a multi-provider practice. 8 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.