Active NPI
Peggie Rose Parks, PA-C
- Physician Assistant
- Mount Olive, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102874
- Practice address
- 201 N Breazeale Ave
Mount Olive, NC 28365-1603 - Phone
- (919) 658-4954
- Fax
- (919) 658-5754
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- 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 | 102874 | NC | Primary |
Addresses
Primary practice location
201 N Breazeale Ave
Mount Olive, NC 28365-1603
Mailing address
201 N Breazeale Ave
Mount Olive, NC 28365-1603
Phone (919) 658-4954
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
- Brody School of Medicine at East Carolina University, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Phone (919) 497-8414
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400
3302 Nash St N
Wilson, NC 27896-1232
Phone (252) 237-5237
Hospital & facility affiliations
- Centerwell Home Health
- 3HC
- Wilson Medical Center
- Unc Health Care Wayne
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
- Wilson, NC
- NPI 1376564625
-
- Physical Therapist
- Wilson, NC
- NPI 1861450884
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilson, NC
- NPI 1215359922
-
- Psychiatric Hospital Unit
- Wilson, NC
- NPI 1386196459
-
- Home Health Agency
- Greenville, NC
- NPI 1396775136
-
- Community Based Hospice Care Agency
- Goldsboro, NC
- NPI 1558396622
Home health agency
-
- Home Health Agency
- Goldsboro, NC
- NPI 1750337366
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265409254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651603",
"telephone_number": "919-658-4954",
"fax_number": "919-658-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651603",
"telephone_number": "919-658-4954",
"fax_number": "919-658-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "PEGGIE",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.