Individual provider Active NPI

Peter Theodoros Kalogerinis, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1740584853
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02675 Issued in NC
Practice address
1766 Metromedical Dr
Fayetteville, NC 28304-3861
Phone
(910) 775-3130
Fax
(910) 775-3130
NPI assigned
Jan 4, 2011
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02675 NC Primary

Addresses

Primary practice location

1766 Metromedical Dr
Fayetteville, NC 28304-3861

Mailing address

PO Box 87854
Fayetteville, NC 28304-7854
Phone (910) 775-3130

Other practice location 1

2300 Ramsey St
Fayetteville, NC 28301-3856
Phone (910) 488-2120

Other practice location 2

204 Medspring Dr
Clayton, NC 27520-9293
Phone (910) 584-8185

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000996 NC Practitioner - Physician Assistant 5991984064 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cogent Healthcare of North Carolina PCGroup PAC ID 7911954714, 66 clinicians

Practice addresses (Care Compare)

Fayetteville, NC 28305
Phone (910) 584-8185

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (852) 335-0531

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

204 Medspring Dr
Clayton, NC 27520-9293
Phone (910) 775-3130

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (336) 538-7000

3050 Halstead Blvd Ext
Room 2 147
Elizabeth City, NC 27909-4994
Phone (330) 492-4443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0010-02675NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Mar 1, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 1, 2018 Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1841 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

Interoperability endpoints

  • Direct secure messaging: pkalogerinis965147@direct.unc.nchie.net

Organizations & group practices 9

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 2

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1740584853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87854",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047854",
            "telephone_number": "910-775-3130",
            "fax_number": "910-775-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-775-3130",
            "fax_number": "910-775-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283013856",
            "country_code": "US",
            "telephone_number": "910-488-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Medspring Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275209293",
            "country_code": "US",
            "telephone_number": "910-584-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALOGERINIS",
        "first_name": "PETER",
        "middle_name": "THEODOROS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.