Individual provider Active NPI

David William Peterson, M.D.

  • Cardiovascular Disease Physician
  • Clyde, NC
National Provider Identifier
1942307301
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
132483 Issued in NC
Practice address
32 Physician Dr
Clyde, NC 28721-8486
Phone
(828) 564-9222
Fax
(828) 564-9228
NPI assigned
Sep 20, 2006
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9801441 NC
Internal Medicine Physician 207R00000X 132483 NC
Cardiovascular Disease Physician 207RC0000X 132483 NC Primary

Addresses

Primary practice location

32 Physician Dr
Clyde, NC 28721-8486

Mailing address

32 Physician Dr
Clyde, NC 28721-8486
Phone (828) 564-9222

Other identifiers 1

IdentifierTypeStateIssuer
89126HPMedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000166 NC Practitioner - Cardiovascular Disease (Cardiology) 3274506159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Minnesota Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 Physician Dr
Clyde, NC 28721-8486
Phone (828) 456-9836

262 Leroy George Dr
Clyde, NC 28721-7430

32 Physician Dr
Clyde, NC 28721-8486
Phone (828) 564-9222

68 Hospital Rd
Sylva, NC 28779-2722

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9801441NCMDSpecialist
132483NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Haywood Regional Medical Center LLC Cardiovascular Disease CurrentSince Feb 7, 2015 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Feb 7, 2015 Accepting new patients
DLP Western Carolina Physician Practices LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients
Haywood Women's Medical Center, PA Past Accepting new patients
DLP Haywood Regional Medical Center LLC. Internal Medicine Past Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

32 Physician Dr
Clyde, NC 28721
Phone (828) 564-9222

600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone (828) 452-0331

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: david.peterson.1@9865.direct.athenahealth.com

Organizations & group practices 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1942307301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PHYSICIAN DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218486",
            "telephone_number": "828-564-9222",
            "fax_number": "828-564-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PHYSICIAN DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218486",
            "telephone_number": "828-564-9222",
            "fax_number": "828-564-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9801441",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "132483",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "132483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126HP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.