1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

PETER NICHOLAS WHITEHURST MD
NPI 1023802196
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 05, 2025PECOS Enrolled
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101(336) 713-9800 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Apr 5, 2025 (2 updates tracked since 2025).

About Peter Nicholas Whitehurst Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER NICHOLAS WHITEHURST MD (NPI 1023802196) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023802196
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER NICHOLAS WHITEHURSTCredential: MD
Location Address1200 N MARTIN LUTHER KING JR DRWinston Salem, NC 27101-3006
Mailing Address311 Kirk LnDothan, AL 36305-7306 · (334) 648-4597
Phone(336) 713-9800
Sole ProprietorYes
Enumeration DateApril 5, 2025
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1023802196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N MARTIN LUTHER KING JR DR, Winston Salem, NC 27101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Nicholas Whitehurst Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FEBEN GIRMA
Internal Medicine
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800
DR. ANGELA KIM
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9677
BRITTANY T HALL L.P.C.
Counselor (Professional)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9639
MS. BILLIE COLE LCSW
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800
SASHA LAWRENCE NP
Nurse Practitioner
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9677
ASHLEY MOODY STALLINGS PHARMD
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9677
JOSEFINA CAZARES LCSWA
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800
SONJIA REGINA SAMUELS LCMHC
Counselor (Mental Health)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Whitehurst's NPI number?

The NPI number for Peter Whitehurst is 1023802196. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Peter Whitehurst located?

Peter Whitehurst practices at 1200 N Martin Luther King Jr Dr, Winston Salem, NC 27101. The listed phone number is (336) 713-9800.

What is Peter Whitehurst's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Whitehurst enrolled in Medicare?

Yes. Peter Whitehurst is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Whitehurst was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.