BARBARA T PEACOCK (FNP) – Nurse Practitioner, NPI 1477516680

BARBARA T PEACOCK (FNP) is a healthcare provider. based in Statesboro, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R085963 (GA). The NPI Number for BARBARA T PEACOCK (FNP) is 1477516680

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
BARBARA T PEACOCK (FNP)
NPI
1477516680
Phone
(912) 871-5150
Address
1096 Bermuda Run
Enumeration Date
10 April 2006
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124501945
Graduation Year
1998 (28 years ago)
PAC ID
4385818087
Group Practice PAC ID
5092058016
Professional Enrollment ID
I20111115000239
Address ID
GA313229587PO101XXDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for BARBARA T PEACOCK (FNP)

  • 1096 Bermuda Run

    Statesboro, GA 304580858

    Phone: (912) 871-5150

    Type: Location

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 537-4986

    Type: Mailing

  • 101, Harris Industrial Boulevard, Vidalia, Toombs County, Georgia, 30474, United States

    STE C

    VIDALIA, GA 304748852

    Phone: (912) 537-1014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111115000239INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg23923$0
99213Established patient office or other outpatient visit, 20-29 minutes150112$0
87804Detection test by immunoassay with direct visual observation for influenza virus10252$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)8379$0
99203New patient office or other outpatient visit, 30-44 minutes7979$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092058016View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for BARBARA T PEACOCK (FNP)?
BARBARA T PEACOCK (FNP) — NPI 1477516680 — is the standard way to identify this listing.
Is BARBARA T PEACOCK (FNP) listed as active for patients and plans?
The listing shows BARBARA T PEACOCK (FNP) as active in the NPI system.
What taxonomy line describes BARBARA T PEACOCK (FNP)?
For research purposes, treat BARBARA T PEACOCK (FNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BARBARA T PEACOCK (FNP) on a map?
Expect Statesboro, Georgia as a primary anchor for BARBARA T PEACOCK (FNP) unless the record lists multiple sites.
Why does BARBARA T PEACOCK (FNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

JACLYN L HOWARD (NP)

Nurse Practitioner
2009, Glen Oaks Road, Glen Oaks, Statesboro, Bulloch County, Georgia, 30458, United States
NPI: 1831123330

ALLEN T ROWLAND (NP)

Nurse Practitioner
PO BOX 1539
NPI: 1528092897
8 Okatie Center Blvd S Ste 201
NPI: 1255431417
PO BOX 5199
NPI: 1265558118
1497, Fair Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States
NPI: 1487983151

CANDICE T ROGERS (RN NP)

Nurse Practitioner
900 MOHAWK ST STE E
NPI: 1548574338
5811 PELICAN BAY BLVD
NPI: 1194028977
5400 SUTLIVE ST
NPI: 1780951301

JASON FLOYD TUCKER (NP)

Nurse Practitioner
1058 BERMUDA RUN
NPI: 1912272675