Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790797108 Individual Practitioner Female Practitioner

Dr. Joanne Peck , MD

Pediatrics • Supply, NC

Professional Overview & Biography Verified Profile Summary

Dr. Joanne Peck, MD is a registered healthcare professional specializing in Pediatrics in Supply, NC. Practice services are available at 14 DOCTORS CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Doctors Cir
Suite 3

Supply, NC 284624097

Telephone 9107547075
Fax 9107542158
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Supply, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Supply, NC (2422 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NC 200101262

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8912935 (NC)
Commercial Insurance / Payer ID Tricare Provider Number
20-0109889 (NC)
Commercial Insurance / Payer ID Cigna Ind Provider Number
7031690 (NC)
Commercial Insurance / Payer ID Uhc Ind Provider Number
1200360 (NC)
Commercial Insurance / Payer ID Bcbs Of Nc Ind Provider
12932 (NC)
Commercial Insurance / Payer ID Medcost Ind Provider #
C7595 (NC)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Alicia Tyndall , FNP-BC

Nurse Practitioner - Family

NPI 1134131584

Family Nurse Practitioner (Board Certified)

Mary Beth Barna , PNP-BC

Nurse Practitioner - Pediatrics

NPI 1255765095

Pediatric Nurse Practitioner (Board Certified)

Crystal Murphy , C-PNP

Nurse Practitioner - Pediatrics

NPI 1639403421

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 14 DOCTORS CIR, SUITE 3, SUPPLY, NC 284624097 (Tel: 9107547075)

📍
Updated Business Mailing Address July 09, 2007

Registered at 14 DOCTORS CIR, SUITE 3, SUPPLY, NC 284624097 (Tel: 9107547075)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOANNE PECK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #200101262 in NC)

🟢
Initial NPI Registration & Enumeration August 13, 2006

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: 1790797108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

14 Doctors Cir, Suite 3

Supply, NC 284624097

Phone: 9107547075

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.