PETERKIN AND ASSOCIATES, INC. (NPI# 1124227277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124227277 |
| Entity Type | Organization |
| Organization Name | PETERKIN AND ASSOCIATES, INC. |
| Practice Address |
118 E. Elizabeth Street Clinton NC 28328-4018 |
| Mailing Address |
131 Hay Street Suite 201 Fayetteville NC 28301-5649 |
| Practice Telephone | 9105902286 |
| Practice Fax Number | 9105923217 |
| Mailing Telephone | 9103231817 |
| Mailing Fax Number | 9103232607 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-11-10 |
| Authorized Official Name | MRS. ALICE D. SMITH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9103231817 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302100P | 05 | |
| NC | 8302100Q | 05 | |
| NC | 8302100A | 05 | |
| NC | 8302100B | 05 | |
| NC | 8302100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558675264 | Peterkin and Associates, Inc. | Community/Behavioral Health | 2692 Harris St, Suite 200, East Point, GA 30344-2672 | 2010-08-05 |
| 1114146461 | Peterkin and Associates, Inc. | Clinic/Center | 128 W. 5th Street, Lumberton, NC 28358-5539 | 2007-04-25 |
| 1548394828 | Peterkin and Associates, Inc. | Clinic/Center | 212 E. Walnut Street, Goldsboro, NC 27530-4835 | 2007-03-16 |
| 1548356355 | Peterkin and Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 Hay St., Suite 201, Fayetteville, NC 28301-5649 | 2006-10-05 |
| 1376501973 | Peterkin and Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 131 Hay Street, Suite 201, Fayetteville, NC 28301-5649 | 2006-05-03 |
| Street Address |
118 E. ELIZABETH STREET |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811336175 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4349 King Rd, Clinton, NC 28328-6163 | 2013-06-20 |
| 1932548716 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Isaac Rd, Clinton, NC 28328-1118 | 2013-06-14 |
| 1093912099 | Hanger Prosthetics & Orthotics East, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 702 E Ohio St Ste 7, Clinton, MO 64735-2362 | 2007-07-02 |
| 1518296664 | Polus Center for Social & Economic Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 134 High St, Clinton, MA 01510-2511 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
| 1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
| 1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
| 1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
| 1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.