Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154760296 Individual Practitioner Female Practitioner

Debra J Peacock , CCC, SLP

Speech-Language Pathologist • Moultrie, GA

Professional Overview & Biography Verified Profile Summary

Debra Peacock, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Moultrie, GA. Practice services are available at 300 SUNSET CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Sunset Cir

Moultrie, GA 317686934

Telephone 2299852080
Fax 2298903397
Associated Practice Facility / Clinic
🏢 Regional Therapy Services Inc Facility NPI 1528024387

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Moultrie, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Moultrie, GA (4796 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP007426

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
SLP007426 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Heather Huddleston , MS ED

Speech-Language Pathologist

NPI 1013154608

Master of Science in Education

Geraldine Bridges , PTA

Physical Therapy Assistant

NPI 1023071420

Physical Therapist Assistant

Lindsay Mims , CCC SLP

Speech-Language Pathologist

NPI 1043273444

Speech-Language Pathologist (Certificate of Clinical Competence)

Emily Goff , ST

Speech-Language Pathologist

NPI 1275284762
Whitney Williams , ST

Speech-Language Pathologist

NPI 1356519995
Dustin White

Physical Therapy Assistant

NPI 1356960082

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2013

Registered at 300 SUNSET CIR, MOULTRIE, GA 317686934 (Tel: 2299852080)

📍
Updated Business Mailing Address June 21, 2013

Registered at 114 BUCK TRL, ELLERSLIE, GA 318075219 (Tel: 7065664867)

👤
Provider Name / Credentials Updated June 21, 2013

Recorded as DEBRA PEACOCK, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Speech-Language Pathologist (License #SLP007426 in GA)

🟢
Initial NPI Registration & Enumeration June 21, 2013

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: 1154760296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2013
Last Update: June 21, 2013
Sole Proprietor: No

Mailing Address

114 Buck Trl

Ellerslie, GA 318075219

Phone: 7065664867

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.