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

Mr. James Jerry Peterson III, BA

Individual provider Community/Behavioral Health Agency · NPI 1265958748

Mr. James Jerry Peterson III, BA is a Community/Behavioral Health Agency in Raleigh, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2138 Blackwolf Run Ln
Raleigh, NC 27604-5411
Phone: (916) 627-5859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1265958748
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedAugust 16, 2017
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

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