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

Jordan Nicholas Peacock, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1033628326

Jordan Nicholas Peacock, PHYSICIANASSISTANT is a Physician Assistant in Pensacola, Florida. Graduated from University of South Alabama College of Medicine in 2017, 9 years ago. Practices with Emerald Coast Center for Neurological Disorders, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
9
Trained at
University of South Alabama College of Medicine
Licensed in
AL, FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1110 Airport Blvd Ste B
Pensacola, FL 32504
Phone: (850) 438-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3719 Dauphin St, Mobile, AL 36608-1753 — (251) 460-5333
  • 3500 Creighton Rd Apt I3, Pensacola, FL 32504-4631 — (918) 351-3706

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111816 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA-1279 (AL)

Record details

NPI number1033628326
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 29, 2017
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Emerald Coast Center For Neurological Disorders — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pensacola