Individual provider Active NPI

Peyton Hobson Hurt, M.D.

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1497745392
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101050006 Issued in VA
Practice address
9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431-5001
Phone
(253) 968-1110
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD - 11146 HI
Child & Adolescent Psychiatry Physician 2084P0804X MD-11146 HI
Psychiatry Physician 2084P0800X 0101050006 VA Primary

Addresses

Primary practice location

9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431-5001

Mailing address

1620 Ingle CT
Charlottesville, VA 22901-8879

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address phhurt@outlook.com Direct
Direct Messaging Address peyton.h.hurt.civ@mail.mil Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211119001734 CO Practitioner - Psychiatry 4385033943 Reassigns benefits to 1 organization
I20240508002078 TX Practitioner - Psychiatry 4385033943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, shared by 5 NPIs, 703 clinicians

Practice addresses (Care Compare)

1411 Medical Pkwy
Suite 201
Cedar Park, TX 78613-2696
Phone (888) 374-5066

6566 N Marksheffel Rd
Suite 100
Colorado Springs, CO 80923-4252
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD - 11146HIMDPsychiatry Physician
0101050006VAMDPsychiatry Physician
MD-11146HIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Mar 31, 2024 Accepting new patients
Family Care Center, LLC Psychiatry CurrentSince Nov 1, 2021 Accepting new patients
Family Care Center, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

1411 Medical Pkwy
Ste 201
Cedar Park, TX 78613
Phone (254) 715-8443

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

Organizations & group practices 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1497745392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 INGLE CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984315001",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "PEYTON",
        "middle_name": "HOBSON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD - 11146",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD-11146",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101050006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phhurt@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9040 Jackson Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984310001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peyton.h.hurt.civ@mail.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9040 Jackson Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984310001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.