Pee Dee Regional Hospital for Geriatric Behavioral Health

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

PEE DEE REGIONAL HOSPITAL FOR GERIATRIC BEHAVIORAL HEALTH

Practice address

1138 Cheraw St
Bennettsville, SC 29512-2466

Phone

(919) 440-7215

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Nathaniel Peterkin

Title

Vice President

Phone

(919) 440-7215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1851008106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LADY STREET 3D FLOOR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "919-440-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 CHERAW ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122466",
            "telephone_number": "919-440-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE REGIONAL HOSPITAL FOR GERIATRIC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-440-7215"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Transport Systems LLC
• Palmetto Wellness & Injury Center of Bennettsville LLC
• Pathways for Success LLC
• Teressa Patterson, MASTERS
• Pee Dee Eye Associates
• Preferred Care
• Preferred Care
• Preferred Care
• Preferred Care
• Premium Care Associates

• Geriatric Psychiatry Physician in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Geriatric Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.