Mr. Charles Leroy Peacock is a Lawrenceville, Georgia based nurse anesthetist with 11 years of experience as Anesthesia Administration. He completed he graduation in 2014. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Charles Leroy Peacock is RN182133 CRNA for Anesthesia Administration in Georgia. his current practice location is 1000 Medical Center Blvd, Lawrenceville. Patients can reach him at 678-442-4321. Mr. Charles Leroy Peacock is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1063548964. Mr. Charles Leroy 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:
Mr. Charles Leroy 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:
11+ years
Medical School Attended:
Other
Graduation Year:
2014
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1000 Medical Center Blvd, Lawrenceville, Georgia, 30045-7694
Phone:
678-442-4321
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:
1355447202
Enrollment ID:
I20140731001161
NPI Number:
1063548964
NPI Enumeration Date:
26 Feb, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Leroy Peacock are as mentioned below.
License Number
Specialization
State
Status
RN182133 CRNA
Anesthesia Administration
Georgia
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ochsner Clinic Foundation (190036)
New orleans, LA
Acute Care Hospital
Avala (190267)
Covington, LA
Acute Care Hospital
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 Mr. Charles Leroy Peacock has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ochsner Clinic Llc (8224933619)
2146
Youngs Professional Services Llc (2163524992)
250
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
840 Connell Ln, Lawrenceville, Georgia
Zip:
30044-6123
Phone Number:
770-736-5173
Fax Number:
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Patients can reach Mr. Charles Leroy Peacock at 1000 Medical Center Blvd, Lawrenceville, Georgia or can call to book an appointment on 678-442-4321.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.