Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306076021 Individual Practitioner Male Practitioner

Dr. Reginald Demetrius Peek , MD

Specialist • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Dr. Reginald Peek, MD is a registered healthcare professional specializing in Specialist in Lilburn, GA. Practice services are available at 950 INDIAN TRL RD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

950 Indian Trl Rd Nw
Suite 5d

Lilburn, GA 300471721

Telephone 4046005563
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Lilburn, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 063002

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003152731A (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2016

Registered at 950 INDIAN TRL RD NW, SUITE 5D, LILBURN, GA 300471721 (Tel: 4046005563)

📍
Updated Business Mailing Address June 13, 2016

Registered at 2419 LAUREL CIR NW, ATLANTA, GA 303111237 (Tel: 4042779264)

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Provider Name / Credentials Updated June 13, 2016

Recorded as REGINALD PEEK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Specialist (License #063002 in GA)

🟢
Initial NPI Registration & Enumeration July 15, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306076021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2009
Last Update: June 13, 2016
Sole Proprietor: Yes

Mailing Address

2419 Laurel Cir Nw

Atlanta, GA 303111237

Phone: 4042779264

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.