Individual provider Active NPI

Mary Carolyn Peavey, M.D.

  • Reproductive Endocrinology Physician
  • Raleigh, NC
National Provider Identifier
1013159094
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
158261 Issued in NC
Practice address
7920 Acc Blvd Ste 300
Raleigh, NC 27617-8744
Phone
(214) 868-0701
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P6499 TX
Reproductive Endocrinology Physician 207VE0102X 158261 NC Primary

Addresses

Primary practice location

7920 Acc Blvd Ste 300
Raleigh, NC 27617-8744

Mailing address

Unc Department of OB/GYN Division of Rei
4002 Old Clinic BLDG./CB# 7570
Chapel Hill, NC 27599-8744
Phone (919) 966-5283

Other practice location 1

6651 Main St
Suite 1020
Houston, TX 77030-2351
Phone (832) 826-7371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158261NCMDReproductive Endocrinology Physician

Interoperability endpoints

  • Direct secure messaging: mpeavey13469@direct.medicine.duke.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013159094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC DEPARTMENT OF OB/GYN DIVISION OF REI",
            "address_2": "4002 OLD CLINIC BLDG./CB# 7570",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275998744",
            "telephone_number": "919-966-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 ACC BLVD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178744",
            "telephone_number": "214-868-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6651 Main St",
            "address_2": "Suite 1020",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302351",
            "country_code": "US",
            "telephone_number": "832-826-7371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAVEY",
        "first_name": "MARY",
        "middle_name": "CAROLYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P6499",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "158261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.