DAVID ROBERT PECK PA-C
NPI 1063663326
Physician Assistant - Surgical in Dacula, GA

NPI Status: Active since October 06, 2008

Contact Information

852 DACULA RD
DACULA, GA
ZIP 30019
Phone: (770) 848-6190
Fax: (770) 848-5367

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  • Individual
  • Male
  • Years of Experience 18
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DAVID PECK

This page provides the complete NPI Profile along with additional information for David Peck, a provider established in Dacula, Georgia with a medical specialization in Physician Assistant, focusing in surgical and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1063663326 assigned on October 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 005607 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1063663326
Provider Name
DAVID ROBERT PECK PA-C
Gender
Male
Entity Type
Individual
Location Address
852 DACULA RD DACULA, GA 30019
Location Phone
(770) 848-6190
Location Fax
(770) 848-5367
Mailing Address
PO BOX 742616 ATLANTA, GA 30374
Mailing Phone
(770) 219-8420
Mailing Fax
(770) 848-5367
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
10-06-2008
Last Update Date
12-06-2018
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Location Map

Secondary Locations

  • 1515 River Pl Ste 280
    Braselton, GA 30517
    (678) 207-4477
  • 1515 River Pl Ste 280
    Braselton, GA 30517
    (678) 207-4477

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
005607
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

005607 (GA)
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

1660 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
613680228BMEDICAID (05)GA 

Medicare Participation & PECOS Enrollment Status

David Peck is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

David Peck is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981763505

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20091103000610

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 118 times for 76 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

This service was performed 21 times for 17 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 15 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 133 times for 101 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 20 times for 19 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

This service was performed 36 times for 16 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 94 times for 63 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 16 times for 16 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 20 times for 20 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 17 times for 16 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 32 times for 26 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 33 times for 30 patients

X-ray of knee, 4 or more views

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

This service was performed 32 times for 32 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 23 times for 23 patients

X-ray of thigh bone, 1 view

An X-ray of the thigh bone, 1 view, is a quick, painless procedure that uses a small amount of radiation to create images of the inside of your thigh. It helps doctors to diagnose and monitor conditions like fractures, infections, or tumors.

This service was performed 17 times for 15 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Peck is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHEAST GEORGIA MEDICAL CENTER, INC743 SPRING STREET
GAINESVILLE, GA 30501
(770) 535-3553Acute Care Hospitals
NGMC BARROW, LLC316 NORTH BROAD STREET
WINDER, GA 30680
(770) 848-8611Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063663326
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123126634
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 6 + 3 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1063663326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386690923 MINKAILU SESAY MD
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9380
1275731580DR. AMY E. BAILEY M.D.
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9380
1740754381 JULIE THACH FNP
Individual
Nurse Practitioner (Family)852 DACULA RD
DACULA, GA 30019
(770) 848-9360
1750675955 LINU CHANDY JOSEPH
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9360
1215268040DR. NDUBUISI APU NDUKWE M.D
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9380
1184079196DR. JENNIFER B. COBERNUS D.O.
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9360
1487073110DR. HILLERY BAVANI D.O.
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9360
1194473074 CAIO AUGUSTO C DA SILVA PA-C
Individual
Physician Assistant (Medical)852 DACULA RD
DACULA, GA 30019
(678) 983-9177
1427508043 CASEY JONES ELLIOTT FNP
Individual
Nurse Practitioner (Family)852 DACULA RD
DACULA, GA 30019
(770) 848-9380
1568991248 BRANDI MICHELLE RICKS
Individual
Nurse Practitioner (Family)852 DACULA RD
DACULA, GA 30019
(770) 848-9360
1902218050 AMANDA JOHNSTON NP-C
Individual
Nurse Practitioner (Family)852 DACULA RD
DACULA, GA 30019
(770) 848-9381
1720627748NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC
Organization
Clinic/Center (Urgent Care)852 DACULA RD
DACULA, GA 30019
(770) 848-9380
1649470717 SUMATHI PUTTU MD
Individual
Family Medicine852 DACULA RD
DACULA, GA 30019
(770) 848-9380

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063663326, enumerated in the NPI registry as an "individual" on October 06, 2008

The provider is located at 852 Dacula Rd Dacula, Ga 30019 and the phone number is (770) 848-6190

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 18 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid large joint using ultrasound guidance, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose, Injection, methylprednisolone acetate, 40 mg, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Replacement of knee joint, both sides of knee, X-ray of hip, 2-3 views, X-ray of knee, 3 views, X-ray of knee, 4 or more views, X-ray of shoulder, minimum of 2 views and X-ray of thigh bone, 1 view.

The practitioner is affiliated to the following hospital(s): NORTHEAST GEORGIA MEDICAL CENTER, INC and NGMC BARROW, LLC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 06, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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