NPIMap

Organization Active NPI

Peak Family Medicine, PA

  • Nurse Practitioner
  • Apex, NC
National Provider Identifier
1285734319
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PEAK FAMILY MEDICINE, PA
Practice address
1011 Pemberton Hill Rd
Suite 101
Apex, NC 27502-4266
Phone
(919) 367-9355
Fax
(919) 367-9276
NPI assigned
Sep 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
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
Dr. Samuel Dwight Blackwell, M.D.NPI 1770677635
Title
Owner/Provider
Phone
(919) 367-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32989 NC
Physician Assistant 363A00000X 103581 NC
Nurse Practitioner 363L00000X NC Primary

Addresses

Primary practice location

1011 Pemberton Hill Rd
Suite 101
Apex, NC 27502-4266

Mailing address

1011 Pemberton Hill Rd
Suite 101
Apex, NC 27502-4266
Phone (919) 367-9355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285734319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD",
            "address_2": "SUITE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "919-367-9355",
            "fax_number": "919-367-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD",
            "address_2": "SUITE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "919-367-9355",
            "fax_number": "919-367-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "919-367-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32989",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103581",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, 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.