Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peak Nutrition and Weight Loss Clinic, PA

Organization Obesity Medicine (Family Medicine) Physician · NPI 1336452390

Peak Nutrition and Weight Loss Clinic, PA is an Obesity Medicine (Family Medicine) Physician in Holly Springs, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

216 Village Walk Dr
Holly Springs, NC 27540-7681
Phone: (919) 586-0031
Fax: (919) 586-0035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X · Licence 32989 (NC)

Record details

NPI number1336452390
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPeak Nutrition and Weight Loss Clinic, PA
Authorized official Samuel Blackwell — Owner/Medical Director · (919) 586-0031
Other names Peak Nutrition And Weight Loss Clinic Holly Springs
NPI enumeratedJuly 20, 2010
Last updated in NPPESJuly 20, 2010
Mailing address216 Village Walk Dr, Holly Springs, NC 27540-7681