RYAN ALEXANDER PEACOCK MD
NPI 1548057979
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 21, 2025PECOS Enrolled
170 MANNING DRIVE HOUPT BUILDING - CB#7594, CHAPEL HILL, NC 27599(410) 487-4519 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Alexander Peacock Md NPPES

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

RYAN ALEXANDER PEACOCK MD (NPI 1548057979) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548057979
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN ALEXANDER PEACOCKCredential: MD
Location Address170 MANNING DRIVE HOUPT BUILDING - CB#7594Chapel Hill, NC 27599-0001
Mailing Address170 Manning Drive Houpt Building - Cb#7594Chapel Hill, NC 27599-0001 · (410) 487-4519
Sole ProprietorNo
Enumeration DateApril 21, 2025
Last NPPES UpdateApril 26, 2025
NPPES CertifiedApril 26, 2025
NPI 1548057979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Alexander Peacock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Student in an Organized Health Care Education/Training Program
170 MANNING DRIVE HOUPT BUILDING - CB#7594
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
170 MANNING DRIVE HOUPT BUILDING - CB#7594
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
170 MANNING DRIVE HOUPT BUILDING - CB#7594
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
170 MANNING DRIVE HOUPT BUILDING - CB#7594
CHAPEL HILL, NC 27599

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 Ryan Peacock's NPI number?

The NPI number for Ryan Peacock is 1548057979. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Ryan Peacock located?

Ryan Peacock practices at 170 Manning Drive Houpt Building - Cb#7594, Chapel Hill, NC 27599. The listed phone number is (410) 487-4519.

What is Ryan Peacock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Peacock enrolled in Medicare?

Yes. Ryan Peacock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Peacock was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.