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

Dr. Samuel Jay Peretsman, MD

Individual provider Urology Physician · NPI 1912946336

Dr. Samuel Jay Peretsman, MD is an Urology in Charlotte, North Carolina. Graduated from Boston University School of Medicine in 1983, 43 years ago. Practices with McLeod Regional Medical Center of the Pee Dee Inc, a 407-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
43
Trained at
Boston University School of Medicine
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 Queens Rd
Charlotte, NC 28204-3217
Phone: (704) 372-5180
Fax: (704) 376-6280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Taylor St Ste 1a, Columbia, SC 29201-2946 — (803) 434-4790

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 9500688 (NC)
Urology Physician Taxonomy 208800000X · Licence 89031 (SC)

Record details

NPI number1912946336
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice McLeod Regional Medical Center Of The Pee Dee Inc — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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