Individual
JAMES EDWARD PEACOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23418
NC
207RI0200X
Infectious Disease Physician
Primary
23418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811158439
VIRGINIA MEDICAID
VA
05
—
1811158439
—
NC
01
—
29170
MEDCOST
—
01
—
3699
PARTNERS
—
01
—
440003755
RR MEDICARE
—
01
—
5282136
AETNA
—
05
—
6000286000
—
WV
05
—
6026583
—
VA
01
—
66361
BCBS
—
05
—
8966361
—
NC
01
—
NC1806
SC MEDICAID
SC
05
—
Q23418
—
SC
Enumeration date
12/13/2005
Last updated
12/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us