Individual provider Active NPI

Peter Jay Enyeart, M.D.

  • Internal Medicine Physician
  • Mooresville, NC
National Provider Identifier
1376703330
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
132668 Issued in NC
Practice address
400 E Statesville Ave Ste 300
Mooresville, NC 28115-2588
Phone
(704) 663-1992
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 132668 NC Primary

Addresses

Primary practice location

400 E Statesville Ave Ste 300
Mooresville, NC 28115-2588

Mailing address

400 E Statesville Ave Ste 300
Mooresville, NC 28115-2588
Phone (704) 663-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
132668NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Clinic Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14847/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1376703330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE STE 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152588",
            "telephone_number": "704-663-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE STE 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152588",
            "telephone_number": "704-663-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEART",
        "first_name": "PETER",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "132668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.