Peter Paul Buonaccorsi, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

2010-01241 Issued in NC

Practice address

4601 Lake Boone Trail
Suite 2C
Raleigh, NC 27607

Phone

(919) 348-9195

Fax

(919) 786-0604

NPI assigned

Mar 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Carolina Outreach, LLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1083723266

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• A New Start Support Services II, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Clayton, NC
  • NPI 1740411958

  Psychiatry

  NPD
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1508171216
  NPD
• Dunn Psychological Associates, PA

  • Clinical Psychologist
  • Dunn, NC
  • NPI 1174712798
  NPD (past)
• Peoples Therapy Inc

  • Counselor
  • Dunn, NC
  • NPI 1770749921
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1639208978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRAIL",
            "address_2": "SUITE 2C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-348-9195",
            "fax_number": "919-786-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRAIL",
            "address_2": "SUITE 2C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-348-9195",
            "fax_number": "919-786-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONACCORSI",
        "first_name": "PETER",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2010-01241",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2010-01241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Rachelle Bunn, PA
• Kellie Bunn, PA-C
• Raina Goldstein Bunnag, MPH, RD, LDN
• Elizabeth Newcomb Bunt, FNP
• Tanejah M Buntley
• Amber Burch
• Dana Burch
• Pamela Louise1 Burch, LCSW
• Rachel Catz Burch, PA-C
• Stephen Donald Burch

• Child & Adolescent Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.