Individual provider Active NPI

Victor Mauricio Pereira Sr., PA-C

  • Urology Physician
  • Pembroke, NC
National Provider Identifier
1336879642
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0010-12306 Issued in NC
Practice address
923 W 3Rd St Ste C
Pembroke, NC 28372-9629
Phone
(910) 521-0564
Fax
(910) 521-4088
NPI assigned
Jun 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0010-12306 NC
Urology Physician 208800000X 0010-12306 NC Primary

Addresses

Primary practice location

923 W 3Rd St Ste C
Pembroke, NC 28372-9629

Mailing address

1738 Owen Dr Ste 110-111
Fayetteville, NC 28304-3877
Phone (910) 499-0616

Other practice location 1

1738 Owen Dr Ste 110-111
Fayetteville, NC 28304-3877
Phone (910) 499-0616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vpereira308925@direct.UNC.nchie.net Direct

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
I20220822002961 NC Practitioner - Physician Assistant 3375926496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

37 Pineville Blvd
Clayton, NC 27527-9355

51 Mosaic Blvd
Pittsboro, NC 27312-4945

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince May 6, 2024 Accepting new patients
Duke Health Integrated Practice, Inc CurrentSince May 6, 2024 Accepting new patients
Cityblock Medical Practice, P.a. Family Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

6013 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6610

37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680

34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850

7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

923 W 3rd St
Ste C
Pembroke, NC 28372
Phone (910) 521-0564

51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766

Interoperability endpoints

  • Direct secure messaging: victor.pereira.1@27775.direct.athenahealth.com
  • Direct secure messaging: vpereira571484@direct.medicine.duke.edu
  • Direct secure messaging: vpereira308925@direct.unc.nchie.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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1336879642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 OWEN DR STE 110-111",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043877",
            "telephone_number": "910-499-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST STE C",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729629",
            "telephone_number": "910-521-0564",
            "fax_number": "910-521-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Owen Dr Ste 110-111",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043877",
            "country_code": "US",
            "telephone_number": "910-499-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "VICTOR",
        "middle_name": "MAURICIO",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0010-12306",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "0010-12306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpereira308925@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "923 W 3rd St Ste C",
            "city": "Pembroke",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283729629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.