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

Todd Phillip Peacock, MD

Individual provider Anesthesiology Physician · NPI 1730400516

Todd Phillip Peacock, MD is an Anesthesiology in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2015, 11 years ago. Practices with Piedmont Triad Anesthesia PA, a 39-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
11
Trained at
Wake Forest University School of Medicine
Licensed in
NC, TN
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

145 Kimel Park Dr Ste 120
Winston Salem, NC 27103
Phone: (336) 768-3212
Fax: (336) 768-9019
Show map & directions

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

Additional practice locations (2)

  • 110 29th Ave N, Nashville, TN 37203-1401 — (615) 327-4304
  • 110 29th Ave N, Nashville, TN 37203-1401 — (615) 327-4304

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2012-01209 (NC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 52747 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 165574 (NC)

Record details

NPI number1730400516
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2010
Last updated in NPPESNovember 13, 2019

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Piedmont Triad Anesthesia Pa — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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