Kimberly L Peacock is a Valdosta, Georgia based nurse anesthetist with 25 years of experience as Anesthesia Administration. She completed she graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kimberly L Peacock is 127617 for Anesthesia Administration in Missouri. Her current practice location is 4280 N Valdosta Rd, Valdosta. Patients can reach her at 229-671-2066. Kimberly L Peacock is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1942347919. Kimberly L Peacock is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kimberly L Peacock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
4280 N Valdosta Rd, Valdosta, Georgia, 31602-6814
Phone:
229-671-2066
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274616032
Enrollment ID:
I20190828003085
NPI Number:
1942347919
NPI Enumeration Date:
31 Jan, 2007
NPI Last Update On:
28 Jun, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly L Peacock are as mentioned below.
License Number
Specialization
State
Status
127617
Anesthesia Administration
Missouri
Primary
RN193082
Anesthesia Administration
Georgia
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kimberly L Peacock has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthomed Staffing Llc (9638429178)
103
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly L Peacock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
175118
Other
Missouri
MO BLUE SHIELD
915080105
Medicaid
Missouri
98727
Other
Arkansas
ARK BLUE SHIELD
141532701
Medicaid
Arkansas
233419908B
Medicaid
Georgia
233419908A
Medicaid
Georgia
233419908C
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 8846, Greensboro, North Carolina
Zip:
27419-0846
Phone Number:
336-553-1659
Fax Number:
336-553-3994
Patients can reach Kimberly L Peacock at 4280 N Valdosta Rd, Valdosta, Georgia or can call to book an appointment on 229-671-2066.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.