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

Nicholas Patrick Peters, PA

Individual provider Physician Assistant · NPI 1407598428

Nicholas Patrick Peters, PA is a Physician Assistant in Kannapolis, North Carolina. Qualified in 2022, 4 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4949 Professional Park Dr Ste 101
Kannapolis, NC 28081-8637
Phone: (704) 938-6521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12604 (NC)

Record details

NPI number1407598428
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESDecember 18, 2023
Certification dateOctober 10, 2023
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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