Active NPI
Peterkin & Associates, Inc.
- Substance Abuse Rehabilitation Facility
- Goldsboro, NC
National Provider Identifier
1083733323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PETERKIN & ASSOCIATES, INC.
- Practice address
- 203 N William St
Goldsboro, NC 27530-3757 - Phone
- (910) 483-0734
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Coley
- Title
- Billing Supervisor
- Phone
- (910) 483-0734
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NC | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NC | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NC | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NC | Primary |
Addresses
Primary practice location
203 N William St
Goldsboro, NC 27530-3757
Mailing address
111 Lamon St
Ste 202
Fayetteville, NC 28301-4957
Phone (910) 483-0734
National Provider Directory
National Provider Directory- Tax ID family
- Peterkin Associates Inc
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Fayetteville, NC
- NPI 1356471874
-
- Intellectual Disabilities Intermediate Care Facility
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- NPI 1346370459
-
- Intellectual Disabilities Intermediate Care Facility
- Aberdeen, NC
- NPI 1457481988
-
- Intellectual Disabilities Intermediate Care Facility
- Southern Pines, NC
- NPI 1508996059
-
- Intellectual Disabilities Intermediate Care Facility
- Fayetteville, NC
- NPI 1629108097
-
- Intellectual Disabilities Intermediate Care Facility
- Fayetteville, NC
- NPI 1740310978
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lumberton, NC
- NPI 1114146461
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clinton, NC
- NPI 1124227277
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, NC
- NPI 1376501973
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Goldsboro, NC
- NPI 1548394828
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- East Point, GA
- NPI 1932413457
Locations
111 Lamon St
Ste 202
Fayetteville, NC 28301
203 N William St
Goldsboro, NC 27530
Phone (910) 483-0734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083733323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LAMON ST",
"address_2": "STE 202",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014957",
"telephone_number": "910-483-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N WILLIAM ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275303757",
"telephone_number": "910-483-0734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETERKIN & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "COLEY",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "910-483-0734"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.