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

Nicole Christine Peckham, PA-C, RDN

Individual provider Physician Assistant · NPI 1073052684

Nicole Christine Peckham, PA-C, RDN is a Physician Assistant in Gainesville, Florida. Qualified in 2021, 5 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3001
Phone: (352) 219-5326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115598 (FL)

Record details

NPI number1073052684
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RDN
Sole proprietorNo
NPI enumeratedFebruary 15, 2017
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Gainesville