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

Mr. Robert Pecoraro

Individual provider Surgical Physician Assistant · NPI 1619195831

Mr. Robert Pecoraro is a Physician Assistant in Greenville, North Carolina. Qualified in 2001, 25 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Florida, Michigan and North Carolina and 2 more.

Years since qualifying
25
Licensed in
CO, FL, MI, NC, NY, SC
In the registry since
2007
Specialties on file
6
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Practice location Address checks out

850 Wh Smith Blvd
Greenville, NC 27834-3763
Phone: (252) 847-1550
Fax: (252) 816-5083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-5000
  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 — (718) 918-3060

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 008549 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-15336 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601013004 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9164 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5891 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9119032 (FL)

Record details

NPI number1619195831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Greenville