Organization Active NPI

Peterkin & Associates, Inc.

  • Substance Abuse Rehabilitation Facility
  • Goldsboro, NC
National Provider Identifier
1083733323
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.