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DR. KEVIN H PEACOCK MD
NPI 1679686661
Internal Medicine - Hematology & Oncology in Conyers, GA

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1501 MILSTEAD RD NE, SUITE 110, CONYERS, GA 30012(770) 760-9949(770) 760-9951 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kevin H Peacock Md NPPES

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

DR. KEVIN H PEACOCK MD (NPI 1679686661) is an individual hematology & oncology provider in Conyers, Georgia, licensed in Georgia (064241) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Virginia Commonwealth University, School Of Medicine (2001).

NPPES Registry Identity

NPI1679686661
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KEVIN H PEACOCKCredential: MD
Location Address1501 MILSTEAD RD NE, SUITE 110Conyers, GA 30012-3838
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (770) 495-3396 · Fax (770) 495-2307
Phone(770) 760-9949
Fax(770) 760-9951
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2001
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1679686661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 064241
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 2004-00941 (NC)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 200400941 (NC)
1501 MILSTEAD RD NE, Conyers, GA 30012
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Other Identifiers 9

Other145JCNC · Bcbs
Medicaid119857791AGA
Other808364NC · Partners
Medicaid3810009045WV
Other199212NC · Medcost
Medicaid5905021NC
Other7119766NC · Aetna
Medicaid1679686661VA
MedicaidQ0094FSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin H Peacock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163474347
PECOS Enrollment IDI20101021000526
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kevin Peacock reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Suburban Hematology Oncology Associates, PC
19 mi
Hematology & Oncology
631 PROFESSIONAL DRIVE, SUITE 450
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1508926759 (770) 963-8030
North Atlanta Oncology Services LLC
19 mi
Medical Oncology
631 PROFESSIONAL DR STE 450
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 31 clinicians in this Medicare group
NPI 1871055434 (855) 709-4535
Northside Hospital, Inc.
20 mi
General Acute Care Hospital
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Gwinnett Hospital System, Inc.
  • 98 clinicians in this Medicare group
NPI 1952340994 (678) 312-1000
Gwinnett Physician Group, LLC
20 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
378 services259 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
356 services135 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%631 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%855 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%4,535 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%1,083 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
97%191 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
98%4,524 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%629 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%1,041 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 962 patients
Patients tobacco: 96% · 962 patients
70%87 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims120 services$4.69 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims924 services$0.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MEGHANA BHATTA KUMAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (140) 454-5234
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
SOUTHERN PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
1501 MILSTEAD RD NE, SUITE 140
CONYERS, GA 30012
Rockdale County (770) 632-3730
DR. SHERINE J THOMAS M.D.
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
NADER A DBOUK MD
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, SUITE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
WILDER DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (770) 761-8097
DAVID S RABIN M.D.
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, STE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Durable Medical Equipment & Medical Supplies
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949

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 Kevin Peacock's NPI number?

The NPI number for Kevin Peacock is 1679686661. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Kevin Peacock located?

Kevin Peacock practices at 1501 Milstead Rd NE Suite 110, Conyers, GA 30012. The listed phone number is (770) 760-9949.

What is Kevin Peacock's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kevin Peacock enrolled in Medicare?

Yes. Kevin Peacock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Peacock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Peacock reassigns Medicare benefits to 4 organizations: Suburban Hematology Oncology Associates, PC (Lawrenceville, GA), North Atlanta Oncology Services LLC (Lawrenceville, GA), Northside Hospital, Inc. (Lawrenceville, GA) and Gwinnett Physician Group, LLC (Lawrenceville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Peacock accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Kevin Peacock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Peacock affiliated with any hospitals?

According to CMS data, Kevin Peacock is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Kevin Peacock was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.