Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Robert Peck, PA-C

Individual provider Physician Assistant · NPI 1063663326

David Robert Peck, PA-C is a Physician Assistant in Dacula, Georgia. Qualified in 2008, 18 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
18
Licensed in
GA, TN
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

852 Dacula Rd
Dacula, GA 30019
Phone: (770) 848-6190
Fax: (770) 848-5367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1515 River Pl, Braselton, GA 30517-5602 — (678) 207-4477
  • 1515 River Pl, Braselton, GA 30517-5602 — (678) 207-4477

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 005607 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 005607 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1660 (TN)

Record details

NPI number1063663326
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2008
Last updated in NPPESDecember 6, 2018
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Dacula