Individual provider Active NPI

Martha G Peck, M.D.

  • Family Medicine Physician
  • Morrisville, NC
National Provider Identifier
1942420906
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-01719 Issued in NC
Practice address
7033 Louis Stephens Dr
Morrisville, NC 27560-6399
Phone
(919) 994-6331
Fax
(919) 590-6777
NPI assigned
May 1, 2007
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-01719 NC Primary

Addresses

Primary practice location

7033 Louis Stephens Dr
Morrisville, NC 27560-6399

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Phone (919) 994-6331

Other identifiers 1

IdentifierTypeStateIssuer
NCO180AOtherNCMEDICARE

Other names 1

  • Martha Jean Gabriel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpeck100105@direct.UNC.nchie.net Direct

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
I20071114000363 NC Practitioner - Family Practice 2860580511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Unc Physicians Network, LLC CurrentSince Aug 1, 2015 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
Carolina Center for Restorative Medicine PastSince Apr 1, 2017 Accepting new patients
Universtiy of North Carolina at Chapel Hill Past Accepting new patients
University of North Carolina at Chapel Hill Family Medicine Past Accepting new patients
Archdale Medical Associates PA Family Medicine Past Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

781 Avent Ferry Rd
Ste 310
Holly Springs, NC 27540
Phone (919) 552-8911

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

6933 Louis Stephens Dr
Morrisville, NC 27560
Phone (919) 994-6331

7033 Louis Stephens Dr
Morrisville, NC 27560
Phone (919) 962-2862

7100 Six Forks Rd
Ste 101
Raleigh, NC 27615
Phone (919) 790-7070

Interoperability endpoints

  • Direct secure messaging: mpeck100105@direct.unc.nchie.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1942420906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442",
            "telephone_number": "919-994-6331",
            "fax_number": "919-590-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 LOUIS STEPHENS DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606399",
            "telephone_number": "919-994-6331",
            "fax_number": "919-590-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MARTHA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCO180A",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpeck100105@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "7033 Louis Stephens Dr",
            "city": "Morrisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275606399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "GABRIEL",
            "middle_name": "JEAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.