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DR. JARED WILLIAM PEACOCK MD
NPI 1831651207
Radiology - Neuroradiology in Knoxville, TN

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
1924 ALCOA HWY # U-107, KNOXVILLE, TN 37920(865) 305-8685 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, Apr 3, 2019 (2 updates tracked since 2019).

About Dr. Jared William Peacock Md NPPES

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

DR. JARED WILLIAM PEACOCK MD (NPI 1831651207) is an individual neuroradiology provider in Knoxville, Tennessee, licensed in South Carolina (94365) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ty Cobb Regional Medical Center, Llc, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1831651207
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameDR. JARED WILLIAM PEACOCKCredential: MD
Location Address1924 ALCOA HWY # U-107Knoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · (865) 305-6501
Phone(865) 305-8685
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1831651207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in SC · 94365
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
1924 ALCOA HWY # U-107, Knoxville, TN 37920
Open in Google Maps ↗

Secondary Practice Location 1

Location 11924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · Phone (865) 305-6501

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. Jared William 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 ID749517340
PECOS Enrollment IDI20250811003391
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 Reassignment

Medicare enrollment records show Jared Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology Of Anderson, P.A.
123 mi
Diagnostic Radiology
800 N FANT ST
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Diagnostic Radiology Of Anderson PA
  • 11 clinicians in this Medicare group
NPI 1922125269 (864) 226-0511

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

Hospital Affiliations CMS Care Compare 4

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

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Other Providers at the Same Location NPPES 8

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

LUKE MAGLICH MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685
MADISON SHADOWENS
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685
DR. PAUL ALLEN MILLER MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685
KELSIE CHERRY DO
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685
MATTHEW WILSON BOUNDS MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685
CHAD ALLEN MEADOWS MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685
DR. COLTON RYAN PETTY MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (901) 448-5529
NOAH CHRISTOPHER HIATT MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-107
KNOXVILLE, TN 37920
Knox County (865) 305-8685

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 Jared Peacock's NPI number?

The NPI number for Jared Peacock is 1831651207. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Jared Peacock located?

Jared Peacock practices at 1924 Alcoa Hwy # U-107, Knoxville, TN 37920. The listed phone number is (865) 305-8685.

What is Jared Peacock's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Jared Peacock enrolled in Medicare?

Yes. Jared 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 organization bills Medicare for Jared Peacock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Peacock reassigns Medicare benefits to Diagnostic Radiology Of Anderson, P.A. (Anderson, SC). The 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 Jared Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jared Peacock affiliated with any hospitals?

According to CMS data, Jared Peacock is affiliated with Ty Cobb Regional Medical Center, LLC, Cannon Memorial Hospital, Anmed Health and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jared Peacock was last updated on June 27, 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.