ROLAND LEE JR. PECKHAM – Student in an Organized Health Care Education/Training Program, NPI 1104146224

ROLAND LEE JR. PECKHAM is a healthcare provider. based in Augusta, Georgia. specializing in Student in an Organized Health Care Education/Training Program. The NPI Number for ROLAND LEE JR. PECKHAM is 1104146224

Main info

Male
Sole Proprietor
Name
ROLAND LEE JR. PECKHAM
NPI
1104146224
Phone
Not provided
Address
4517 CASTLE ROCK RD
Enumeration Date
11 June 2010
Last Update Date
11 June 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

Provider Addresses for ROLAND LEE JR. PECKHAM

  • 4517 CASTLE ROCK RD

    AUGUSTA, GA 309094002

    Phone:

    Type: Mailing

  • 300 W HOSPITAL RD

    FORT GORDON, GA 309055741

    Phone: (513) 519-9281

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30909)

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Reviews

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Frequently asked questions

How do I look up ROLAND LEE JR. PECKHAM by NPI?
Use NPI 1104146224 when you need to reference ROLAND LEE JR. PECKHAM in forms, claims, or directories.
Is ROLAND LEE JR. PECKHAM's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ROLAND LEE JR. PECKHAM list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for ROLAND LEE JR. PECKHAM. Clinical services aligned with this taxonomy classification.
Where is ROLAND LEE JR. PECKHAM's primary listing?
We display Augusta, Georgia because that is what the record indicates for ROLAND LEE JR. PECKHAM.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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