Peacock Foot Clinic PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

382 Issued in NC

Legal business name

PEACOCK FOOT CLINIC PC

Practice address

325 Jefferson St
Whiteville, NC 28472-3601

Phone

(910) 642-7768

Fax

(910) 642-6541

NPI assigned

Feb 23, 2007

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sonya King Peacock

Title

Secretary Treasurer

Phone

(910) 642-7768

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Allyson Smith, DPM

  • Foot Surgery Podiatrist
  • Wilmington, NC
  • NPI 1598834350
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1770618183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723601",
            "telephone_number": "910-642-7768",
            "fax_number": "910-642-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723601",
            "telephone_number": "910-642-7768",
            "fax_number": "910-642-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACOCK FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "910-642-7768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "08003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908003",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00060043",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne McKee Passmore, LPC
• Anna Caroline Pate, PA
• Pathways Counseling Services PLLC
• Madeline Victoria Patrick
• Helen Payne
• Peggy Sue Barnhill MD PA
• Christy T. Perdue, MD
• Personal Care Solutions of the Carolinas
• Christy Lynn Phillips, FNP
• Sandra Pickett, SLP

• Foot Surgery Podiatrist in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Foot Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.