Individual provider Active NPI

Joshua Joseph Peck, PA-C

  • Medical Physician Assistant
  • Asheboro, NC
National Provider Identifier
1174306575
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-16077 Issued in NC
Practice address
360 Sunset Ave
Asheboro, NC 27203-5612
Phone
(336) 625-8410
Fax
(336) 625-8405
NPI assigned
Aug 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-16077 NC Primary

Addresses

Primary practice location

360 Sunset Ave
Asheboro, NC 27203-5612

Mailing address

360 Sunset Ave
Asheboro, NC 27203-5612
Phone (336) 625-8410

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512003062 NC Practitioner - Physician Assistant 9436628187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

360 Sunset Ave
Asheboro, NC 27203-5612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-16077NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TLK Dermatology PLLC CurrentSince Dec 7, 2025 Accepting new patients
James Todd Williams MD CurrentSince Dec 7, 2025 Accepting new patients

Locations

360 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-8410

510 Pineview Dr
Kernersville, NC 27284
Phone (336) 992-2111

1610 Liberty Dr
Thomasville, NC 27360
Phone (336) 475-8410

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1174306575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410",
            "fax_number": "336-625-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410",
            "fax_number": "336-625-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JOSHUA",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-16077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.