PEACHTREE ENT & FACIAL PLASTICS PA
NPI 1255504924
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Murphy, NC

Active since April 02, 2008
145 MEDICAL PARK LANE, SUITE J, MURPHY, NC 28906(828) 837-3223(828) 837-7706 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peachtree Ent & Facial Plastics Pa NPPES

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

PEACHTREE ENT & FACIAL PLASTICS PA (NPI 1255504924) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Murphy, North Carolina and active in the NPI registry since April 2008. The organization lists Richard Todd Weisenburger, President/owner, as its authorized official.

NPPES Registry Identity

NPI1255504924
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NamePEACHTREE ENT & FACIAL PLASTICS PA
Location Address145 MEDICAL PARK LANE, SUITE JMurphy, NC 28906-6663
Mailing Address145 Medical Park Lane, Suite JMurphy, NC 28906-6663 · (828) 837-3223 · Fax (828) 837-7706
Fax(828) 837-7706
Organization SubpartNo
Authorized OfficialRichard Todd WeisenburgerPresident/owner · (828) 837-3223
Enumeration DateApril 2, 2008
Last NPPES UpdateMarch 31, 2014
✔ NPI 1255504924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in NC · 2007-01919
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 2007-01919 (NC)
145 MEDICAL PARK LANE, Murphy, NC 28906

Other Identifiers 2

Medicaid5908853NC
Medicare PIN82972FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peachtree Ent & Facial Plastics Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20080421000458Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peachtree Ent & Facial Plastics PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1730177411
145 MEDICAL PARK LANE SUITE J
Murphy, NC 28906
(828) 837-3223
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peachtree Ent & Facial Plastics PA's NPI number?

The NPI number for Peachtree Ent & Facial Plastics PA is 1255504924. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Peachtree Ent & Facial Plastics PA located?

Peachtree Ent & Facial Plastics PA is located at 145 Medical Park Lane Suite J, Murphy, NC 28906. The listed phone number is (828) 837-3223.

What is Peachtree Ent & Facial Plastics PA's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Peachtree Ent & Facial Plastics PA enrolled in Medicare?

Yes. Peachtree Ent & Facial Plastics PA is registered in the Medicare PECOS enrollment system.

When is Peachtree Ent & Facial Plastics PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peachtree Ent & Facial Plastics PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Peachtree Ent & Facial Plastics PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peachtree Ent & Facial Plastics PA accept?

Health plans from Cigna Healthcare list Peachtree Ent & Facial Plastics PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peachtree Ent & Facial Plastics PA was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.