Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Johnathan W Peck, DMS, PA-C

Individual provider Physician Assistant · NPI 1144934589

Dr. Johnathan W Peck, DMS, PA-C is a Physician Assistant in Coweta, Oklahoma. Qualified in 2024, 2 years ago. Practices with Health First Privia Medical Group, a 246-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Oklahoma.

Years since qualifying
2
Licensed in
FL, OK
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

607 S Broadway
Coweta, OK 74429-5000
Phone: (918) 486-5564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117435 (FL)
Physician Assistant Taxonomy 363A00000X (OK)
Physician Assistant Taxonomy 363A00000X · Licence 4971 (OK)

Record details

NPI number1144934589
Entity typeIndividual (Type 1)
GenderMale
Credentials DMS , PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Health First Privia Medical Group — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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