Active NPI
Peter W. Hawkins, PA-C
- Physician Assistant
- Roxboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04686
- Practice address
- 3762 Durham Rd Ste a
Roxboro, NC 27573-2741 - Phone
- (336) 330-0400
- Fax
- (336) 330-0031
- NPI assigned
- Feb 5, 2014
- Last updated
- Mar 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04686 | NC | Primary |
Addresses
Primary practice location
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Mailing address
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Phone (336) 330-0400
Other practice location 1
1614 Nc Highway 56
Creedmoor, NC 27522-8297
Phone (919) 575-6103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255755740 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1614 NC Hwy 56
Creedmoor, NC 27522-8297
Phone (919) 575-6103
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granville Health System | Current | Accepting new patients | |
| Granville Health System | Current | Accepting new patients | |
| DLP Person Urgent Care LLC | Current | Accepting new patients | |
| DLP Person Urgent Care LLC | Current | Accepting new patients |
Locations
1840 Martin Luther King Jr Blvd
Ste C4
Chapel Hill, NC 27514
Phone (919) 510-6679
1614 NC Highway 56
Creedmoor, NC 27522
Phone (919) 528-7171
3762 Durham Rd
Roxboro, NC 27573
Phone (336) 330-0400
3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400
Interoperability endpoints
- peterhawkins@gvhs.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Granville CRNA Group
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
-
- Urgent Care Clinic/Center
- Roxboro, NC
- NPI 1275043481
-
- Durable Medical Equipment & Medical Supplies
- Chapel Hill, NC
- NPI 1417460940
-
- Diagnostic Radiology Physician
- Oxford, NC
- NPI 1104683341
-
dba South Granville Primary Care
- Rural Health Clinic/Center
- Creedmoor, NC
- NPI 1265430854
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, NC
- NPI 1326061730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1255755740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 DURHAM RD STE A",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-330-0400",
"fax_number": "336-330-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3762 DURHAM RD STE A",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-330-0400",
"fax_number": "336-330-0031"
}
],
"practiceLocations": [
{
"address_1": "1614 Nc Highway 56",
"address_purpose": "LOCATION",
"city": "Creedmoor",
"state": "NC",
"postal_code": "275228297",
"country_code": "US",
"telephone_number": "919-575-6103",
"fax_number": "919-575-6817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS",
"first_name": "PETER",
"middle_name": "W.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255755740",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.