REGINALD DEMETRIUS PEEK MD
NPI 1306076021
Specialist in Lilburn, GA

Q: What is Reginald Peek's NPI number?

The NPI number for Reginald Peek is 1306076021. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Q: What is Reginald Peek's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Reginald Peek was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2009

950 INDIAN TRL RD NW, SUITE 5D, LILBURN, GA 30047(404) 600-5563 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Reginald Demetrius Peek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD DEMETRIUS PEEK MD (NPI 1306076021) is an individual specialist in Lilburn, Georgia, licensed in Georgia (063002) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1306076021

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameREGINALD DEMETRIUS PEEKCredential: MD

Location Address950 INDIAN TRL RD NW, SUITE 5DLilburn, GA 30047-1721

Mailing Address2419 Laurel Cir NwAtlanta, GA 30311-1237 · (404) 277-9264

Phone(404) 600-5563

Sole ProprietorYes

Enumeration DateJuly 15, 2009

Last NPPES UpdateJune 13, 2016

✔ NPI 1306076021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 063002

Definition

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.

950 INDIAN TRL RD NW, Lilburn, GA 30047

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Other Identifiers 1

Medicaid003152731AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FABULOUS DENTISTRY AND ORTHODONTIC PC

Dentist (Orthodontics and Dentofacial Orthopedics)

950 INDIAN TRL RD NW, SUITE 3-G
LILBURN, GA 30047

Gwinnett County (678) 325-3970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reginald Peek's NPI number?

The NPI number for Reginald Peek is 1306076021. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Reginald Peek located?

Reginald Peek practices at 950 Indian Trl Rd NW Suite 5D, Lilburn, GA 30047. The listed phone number is (404) 600-5563.

What is Reginald Peek's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Reginald Peek was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.