PEACOCK FOOT CLINIC PC NPI 1770618183

NPI Information

NPI: 1770618183
Provider Name: PEACOCK FOOT CLINIC PC
Classification: Podiatrist - 213ES0131X
Specialization: Foot Surgery
Entity Type: Organization
Address: 325 JEFFERSON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-7768

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NPI Details

PEACOCK FOOT CLINIC PC is a foot surgery podiatrist in Whiteville, NC. PEACOCK FOOT CLINIC PC NPI is 1770618183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 JEFFERSON ST
WHITEVILLE, NC
ZIP 28472-601
Phone: (910) 642-7768
Fax: (910) 642-6541

The provider's authorized official is Sonya King Peacock .
The authorized official title is Secretary Treasurer and has the following contact phone number (910) 642-7768.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 12/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	382	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8908003	MEDICAID	NORTH CAROLINA
2	P00060043	OTHER	NORTH CAROLINA	RR MEDICARE
3	08003	OTHER	NORTH CAROLINA	BCBS NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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