Individual provider Active NPI

Joshua Scott Peters, PA-C

  • Physician Assistant
  • Glenwood SPGS, CO
National Provider Identifier
1730497348
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15379 Issued in NC
Practice address
1830 Blake Ave
Suite 206
Glenwood SPGS, CO 81601-4275
Phone
(970) 384-7140
Fax
(970) 945-0563
NPI assigned
Sep 16, 2010
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X PA0004114 CO
Surgical Physician Assistant 363AS0400X PA0004114 CO
Physician Assistant 363A00000X 0010-15379 NC Primary

Addresses

Primary practice location

1830 Blake Ave
Suite 206
Glenwood SPGS, CO 81601-4275

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 790-9714

Other practice location 1

6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813
Phone (910) 790-9714

Other identifiers 1

IdentifierTypeStateIssuer
76755517MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141230000794 CO Practitioner - Physician Assistant 7719169028 Reassigns benefits to 2 organizations
I20250613000648 NC Practitioner - Physician Assistant 7719169028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800

3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800

5160 Ocean Hwy W
Shallotte, NC 28470-4012
Phone (910) 332-3800

5220 Oleander Dr
FL 2
Wilmington, NC 28403-7021
Phone (910) 332-3800

6019 Oleander Dr
Suite 200
Wilmington, NC 28403-4813
Phone (910) 790-9714

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

8115 Market St
Suite 108
Wilmington, NC 28411-8429
Phone (910) 332-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-15379NCMDPhysician Assistant
PA0004114COMDSurgical Physician Assistant
002458CTMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Orthopaedic Surgery CurrentSince Jun 30, 2025 Accepting new patients
Emergeortho PA CurrentSince Jun 30, 2025 Accepting new patients
Valley View Hospital Association CurrentSince Mar 1, 2015 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Jan 3, 2022 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Orthopaedic Surgery Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

209 US Highway 117 N
Burgaw, NC 28425
Phone (800) 359-3053

209 US Highway 117 N
Ste B
Burgaw, NC 28425
Phone (910) 254-1033

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 763-2361

6019 Oleander Dr
Ste 200
Wilmington, NC 28403
Phone (910) 790-9714

Interoperability endpoints

  • Direct secure messaging: joshua.peters.1@847.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1730497348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-790-9714",
            "fax_number": "910-791-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "address_2": "SUITE 206",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-384-7140",
            "fax_number": "970-945-0563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6019 Oleander Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034813",
            "country_code": "US",
            "telephone_number": "910-790-9714",
            "fax_number": "910-790-9714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "PA0004114",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA0004114",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76755517",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood SPGS, CO

Sources for this page

Verify at the official NPI Registry.