MR. GRANT ALLEN PEACOCK III PT
NPI 1942411699
Specialist in Tucker, GA

Q: What is Grant Peacock's NPI number?

The NPI number for Grant Peacock is 1942411699. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Grant Peacock'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 Grant Peacock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 24, 2007

2627 CHURCHWELL LN, TUCKER, GA 30084(770) 491-8511(770) 491-6914 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Grant Allen Peacock Iii Pt NPPES

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

MR. GRANT ALLEN PEACOCK III PT (NPI 1942411699) is an individual specialist in Tucker, Georgia, licensed in Georgia (PT001863) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1942411699

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. GRANT ALLEN PEACOCK IIICredential: PT

Location Address2627 CHURCHWELL LNTucker, GA 30084-2412

Mailing Address2627 Churchwell LnTucker, GA 30084-2412 · (770) 491-8511 · Fax (770) 491-6914

Phone(770) 491-8511

Fax(770) 491-6914

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942411699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · PT001863

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.

2627 CHURCHWELL LN, Tucker, GA 30084

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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 Grant Peacock's NPI number?

The NPI number for Grant Peacock is 1942411699. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Grant Peacock located?

Grant Peacock practices at 2627 Churchwell Ln, Tucker, GA 30084. The listed phone number is (770) 491-8511.

What is Grant Peacock'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 Grant Peacock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.