Healthcare Provider Details

I. General information

NPI: 1386566982
Provider Name (Legal Business Name): MCPEAK MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 HOWELL MILL RD NW FL 8
ATLANTA GA
30318-5557
US

IV. Provider business mailing address

8605 EVES RD
ROSWELL GA
30076-3300
US

V. Phone/Fax

Practice location:
  • Phone: 678-902-7995
  • Fax:
Mailing address:
  • Phone: 205-435-1565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN CLINT MCPEAK
Title or Position: OWNER
Credential:
Phone: 205-435-1565