Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel James Peickert, DNP-C

Individual provider Nurse Practitioner · NPI 1609619899

Samuel James Peickert, DNP-C is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2025, 1 year ago. Practices with Professional Therapies of Roanoke, Inc, a 278-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

301 E Wendover Ave Ste 411
Greensboro, NC 27401-1211
Phone: (336) 832-3210
Fax: (336) 890-5523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1248 Huffman Mill Rd Ste 101, Burlington, NC 27215-8700 — (336) 890-3390

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5022960 (NC)
Registered Nurse Taxonomy 163W00000X · Licence ROAX34E4 (NC)

Record details

NPI number1609619899
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-C
Sole proprietorYes
NPI enumeratedJune 14, 2024
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Professional Therapies Of Roanoke, Inc. — 278 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greensboro