NPI age
19 years
Enumerated 2006-08-16
● Active
Type 1 · Individual
DR. Kevin H Peacock, MD
Peacock is 1 of 9 internal medicine providers in Conyers and 1 of 494 in Georgia.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 494 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
2
In the 33% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
1501 Milstead Rd Ne, Suite 110
Conyers, GA 300123838
Mailing address
1835 Savoy Dr, Suite 300
Atlanta, GA 303411072
Specialties
-
Internal Medicine PrimaryAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
-
Internal MedicineAn internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and...
-
Internal MedicineAn internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | Q0094F | |
| 05 (WV) | 3810009045 | |
| 05 (GA) | 119857791A | |
| 05 (NC) | 5905021 | |
| 01 (NC) | 7119766 | AETNA |
| 01 (NC) | 808364 | PARTNERS |
| 01 (NC) | 145JC | BCBS |
| 05 (VA) | 1679686661 | |
| 01 (NC) | 199212 | MEDCOST |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 9 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.