Individual provider Active NPI

Peter John Dorton, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1083655211
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-00739 Issued in NC
Practice address
7804 Fairview Rd Ste a
Charlotte, NC 28226-4999
Phone
(704) 316-3136
Fax
(704) 316-3140
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20449 SC
Family Medicine Physician 207Q00000X 2013-00739 NC Primary

Addresses

Primary practice location

7804 Fairview Rd Ste a
Charlotte, NC 28226-4999

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

330 Billingsley Rd
Suite 101
Charlotte, NC 28211-5020
Phone (704) 384-1605

Other identifiers 2

IdentifierTypeStateIssuer
204497MedicaidSC
080187887OtherMEDCOST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdorton87130@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140207001022 NC Practitioner - Family Practice 4688718067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCPC-17 LLCGroup PAC ID 5395030159, 8 clinicians

Practice addresses (Care Compare)

293 Olmsted Blvd
Suite 1
Pinehurst, NC 28374-9182
Phone (910) 255-0033

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Thomasville, NC, CCN 347094
  • Centerwell Home Health Home health agency, Lillington, NC, CCN 347089
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20449SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-17, LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
MCPC-17, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

293 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 255-0033

Interoperability endpoints

  • Direct secure messaging: pdorton87130@direct.novanthealth.org
  • Direct secure messaging: pdorton121283@firsthealth.direct-ci.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1083655211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 FAIRVIEW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264999",
            "telephone_number": "704-316-3136",
            "fax_number": "704-316-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Billingsley Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115020",
            "country_code": "US",
            "telephone_number": "704-384-1605",
            "fax_number": "704-384-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORTON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20449",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-00739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204497",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "080187887",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdorton87130@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "330 Billingsley Rd",
            "address_2": "Suite 101",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282115020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.