MRS. CHARLOTTE PEAVIE CFNP
NPI 1629163043
Nurse Practitioner - Family in Jackson, MS

Q: What is Charlotte Peavie's NPI number?

The NPI number for Charlotte Peavie is 1629163043. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Charlotte Peavie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Charlotte Peavie was last updated on June 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 03, 2006

5879 MADISON EDWARD DR, JACKSON, MS 39206(601) 984-5475 Get Directions Write a Review

NPPES record last updated: June 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Charlotte Peavie Cfnp NPPES

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

MRS. CHARLOTTE PEAVIE CFNP (NPI 1629163043) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R583529) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629163043

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CHARLOTTE PEAVIECredential: CFNP

Location Address5879 MADISON EDWARD DRJackson, MS 39206

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5475

Phone(601) 984-5475

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJune 26, 2017

✔ NPI 1629163043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R583529

5879 MADISON EDWARD DR, Jackson, MS 39206

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Other Identifiers 4

Medicare PIN302I507004MS

Medicaid00111411MS

Medicare PINP00971171MS

Other302I507758MS · Medicare Ptan

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 Charlotte Peavie's NPI number?

The NPI number for Charlotte Peavie is 1629163043. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Charlotte Peavie located?

Charlotte Peavie practices at 5879 Madison Edward Dr, Jackson, MS 39206. The listed phone number is (601) 984-5475.

What is Charlotte Peavie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charlotte Peavie was last updated on June 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.