Peacock Primary Care, LLC
NPI 1578333639 · Family Nurse Practitioner · Shreveport, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peacock Primary Care, LLC is a Family Nurse Practitioner organization in Shreveport, LA (NPI 1578333639).
Provider details
- NPI number
- 1578333639
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brandy Peacock, Owner(318) 510-3943
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Frequently asked questions
- What is Peacock Primary Care, LLC's NPI number?
- Peacock Primary Care, LLC's National Provider Identifier (NPI) is 1578333639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peacock Primary Care, LLC?
- Peacock Primary Care, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Peacock Primary Care, LLC located?
- Peacock Primary Care, LLC's practice location on file with NPPES is 426 Goldsberry Cir, Shreveport, LA 71106-8346.
- What is Peacock Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Peacock Primary Care, LLC is (318) 510-3943.
- Does Peacock Primary Care, LLC accept Medicare?
- Peacock Primary Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peacock Primary Care, LLC?
- The authorized official listed on Peacock Primary Care, LLC's NPPES record is Brandy Peacock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peacock Primary Care, LLC's NPI active?
- Yes — Peacock Primary Care, LLC's NPI (1578333639) is active in the NPPES registry as of the last update on 2024-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.