Individual provider Active NPI

Roy John Peters, M.D.

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1063701035
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2013-01839 Issued in NC
Practice address
507 N Lindsay St
High Point, NC 27262-4303
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Mar 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2013-01839 NC Primary

Addresses

Primary practice location

507 N Lindsay St
High Point, NC 27262-4303

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

Other practice location 1

2805 S Main St
High Point, NC 27263-1936
Phone (336) 883-0029

Other identifiers 1

IdentifierTypeStateIssuer
1063701035MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140918000518 NC Practitioner - Internal Medicine 2163666066 Reassigns benefits to 3 organizations
I20240117001136 WY Practitioner - Internal Medicine 2163666066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Banks Professional Services, LLCGroup PAC ID 3173652096, 163 clinicians

Practice addresses (Care Compare)

2518 S Croatan Hwy
Unit B
Nags Head, NC 27959
Phone (252) 449-7373

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120

4917 S Croatan Hwy
Suite 1B
Nags Head, NC 27959
Phone (252) 255-0583

4927 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 261-0777

Hospital & facility affiliations

  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Banks Professional Services, LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Bethany Medical Center, PA Internal Medicine CurrentSince Sep 25, 2024 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jul 1, 2018 Accepting new patients
RMH Medical Group LLC CurrentSince Oct 25, 2017 Accepting new patients
RMH Medical Group LLC CurrentSince Oct 25, 2017 Accepting new patients
Watauga Medical Center, Inc. Hospitalist CurrentSince Mar 15, 2022 Accepting new patients
West Park Hospital District CurrentSince Nov 29, 2023 Accepting new patients
Watauga Medical Center Inc CurrentSince Mar 15, 2022 Accepting new patients
West Park Hospital District CurrentSince Nov 29, 2023 Accepting new patients
Bethany Medical Center Internal Medicine CurrentSince Sep 25, 2024 Accepting new patients
Bethany Medical Center, PA Internal Medicine Past Accepting new patients
Bethany Medical Center Past Accepting new patients
Genesis Medical Group LLC Internal Medicine Past Accepting new patients
Wake Forest University Health Sciences PastSince Sep 12, 2015 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

507 N Lindsay St
High Point, NC 27262

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3610 Peters Ct
High Point, NC 27265

2805 S Main St
High Point, NC 27263
Phone (336) 431-1149

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

495 Arbor Hill Rd
Ste R
Kernersville, NC 27284

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1063701035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624303",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 S Main St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272631936",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ROY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-01839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063701035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.