Individual provider Active NPI

Peter Maxwell Formby, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Fort Liberty, NC
National Provider Identifier
1730476698
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
225932 Issued in NC
Practice address
2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001
Phone
(910) 643-1903
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 225932 NC Primary
Orthopaedic Surgery Physician 207X00000X 2020-00806 NC

Addresses

Primary practice location

2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001

Mailing address

2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001

Other practice location 1

700 Tilghman Dr
Dunn, NC 28334-0007
Phone (910) 893-4041

Other practice location 2

225 Brightwater Dr Ste 200
Lillington, NC 27546-5156
Phone (910) 893-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, NC, SD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190117000693 TX Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 6507102274 Reassigns benefits to 1 organization
I20221116002181 IL Practitioner - Orthopedic Surgery 6507102274 Reassigns benefits to 1 organization
I20230123000883 NC Practitioner - Orthopedic Surgery 6507102274 Reassigns benefits to 7 organizations
I20230320001374 SD Practitioner - Orthopedic Surgery 6507102274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818

316 Chestnut St
Suite 2
Brevard, NC 28712-3897
Phone (828) 694-7676

4741 Randolph Rd
Suite 100
Charlotte, NC 28211-2919
Phone (704) 365-6730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225932NCMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery CurrentSince Dec 15, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery of the Spine CurrentSince Dec 15, 2024 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Nov 2, 2022 Accepting new patients
Harnett Health System, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 18, 2025 Accepting new patients
Harnett Health System Inc Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Henderson County Hospital Corporation Orthopaedic Surgery CurrentSince Feb 1, 2025 Accepting new patients
Carolinas Physicians Network Inc Orthopaedic Surgery CurrentSince Dec 29, 2025 Accepting new patients
Hillcrest Physician Services Orthopaedic Surgery CurrentSince Dec 28, 2018 Accepting new patients
Harnett Health System Inc CurrentSince Mar 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Medical Group. LLC CurrentSince Aug 18, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Appalachian Regional Medical Associates, Inc. Orthopaedic Surgery CurrentSince Aug 22, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Henderson County Hospital Corporation CurrentSince Feb 1, 2025 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations (25 of 26)

405 W Jackson St
Carbondale, IL 62901

19 E Shawnee Dr
Murphysboro, IL 62966
Phone (618) 684-2172

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

105 Yadkin St
Ste 101
Albemarle, NC 28001
Phone (704) 474-3171

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

21 Turtle Creek Dr
Asheville, NC 28803
Phone (828) 274-4555

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

232 Boone Heights Dr
#A
Boone, NC 28607
Phone (828) 268-9043

316 Chestnut St
#2
Brevard, NC 28712
Phone (828) 694-7676

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

700 Tilghman Dr
Dunn, NC 28334
Phone (910) 893-4041

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

212 Thompson St
Ste C
Hendersonville, NC 28792
Phone (828) 233-2929

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

225 Brightwater Dr
Ste 200
Lillington, NC 27546
Phone (910) 892-1107

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

2301 US Highway 74 W
Ste 1500
Wadesboro, NC 28170
Phone (704) 994-4900

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300

Interoperability endpoints

  • Direct secure messaging: pformby1732342@direct.novanthealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1730476698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-643-1903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283340007",
            "country_code": "US",
            "telephone_number": "910-893-4041",
            "fax_number": "910-893-4045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Brightwater Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-893-4041",
            "fax_number": "910-893-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORMBY",
        "first_name": "PETER",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NC",
            "license": "225932",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2020-00806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

Verify at the official NPI Registry.