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

Kimberly L Peacock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1942347919

Kimberly L Peacock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Valdosta, Georgia. Qualified in 2000, 26 years ago. Practices with Jefferson City Medical Group PC, a 117-clinician group and accepts Medicare assignment. Licensed in Georgia and Missouri.

Years since qualifying
26
Licensed in
GA, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4280 N Valdosta Rd
Valdosta, GA 31602-6814
Phone: (229) 671-2066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 127617 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN193082 (GA)

Record details

NPI number1942347919
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Jefferson City Medical Group Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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