PEACOCK FOOT CLINIC PC NPI 1982858874

NPI Information

  • NPI: 1982858874
  • Provider Name: PEACOCK FOOT CLINIC, PC
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 409 WILLIAMS ST
    ELIZABETHTOWN, NC
    ZIP 28337
  • Phone: (910) 642-7768

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NPI Details

PEACOCK FOOT CLINIC, PC is a foot surgery podiatrist in Elizabethtown, NC. PEACOCK FOOT CLINIC, PC NPI is 1982858874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

409 WILLIAMS ST
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 642-7768
Fax: (910) 642-6541

The provider's authorized official is Don Peacock .
The authorized official title is President and has the following contact phone number (910) 642-7768.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 11/5/2008.

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
1213ES0131XPodiatristFoot Surgery382NORTH CAROLINAYes

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
1U63366MEDICARE UPINNORTH CAROLINA
28908003MEDICAIDNORTH CAROLINA
32433669MEDICARE PINNORTH CAROLINA

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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