MEDICARE: JAMES T PEOPLES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	46824	MN
2	207R00000X	Internal Medicine Physician	19390	MS
3	207R00000X	Internal Medicine Physician	ME118078	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588634760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES T PEOPLES MD

Provider Business Mailing Address
First Line	:	5665 NEW NORTHSIDE DR STE 320
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5834
Country	:	US
Telephone Number	:	770-874-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 BAPTIST WAY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2254
Country	:	US
Telephone Number	:	770-874-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	07/22/2024

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Directions to “ JAMES T PEOPLES MD” Practice Location

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