Active NPI
Peter John Dorton, MD
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013-00739
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204497 | Medicaid | SC | |
| 080187887 | Other | MEDCOST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
293 Olmsted Blvd
Suite 1
Pinehurst, NC 28374-9182
Phone (910) 255-0033
Hospital & facility affiliations
- Amedisys Home Health Care
- Centerwell Home Health
- Firsthealth Moore Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20449 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-17, LLC | Family Medicine | Current | Accepting new patients |
| MCPC-17, LLC | Current | Accepting new patients |
Locations
293 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 255-0033
Interoperability endpoints
- pdorton87130@direct.novanthealth.org
- 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.
-
- Internal Medicine Physician
- Sanford, NC
- NPI 1386323319
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Thomasville, NC
- NPI 1124076872
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
- Home Health Agency
- Lillington, NC
- NPI 1689119349
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.