Dr Jonathan Richard Peyton, is a medicare enrolled "Oral Medicinist" provider in Charlotte, North Carolina. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Dentist. He is a member of the group practice The Charlotte-mecklenburg Hospital Authority and his current practice location is
Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 355-2165.
Dr Jonathan Richard Peyton is licensed to practice in North Carolina (license number 0295) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154053445.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Richard Peyton |
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| Gender | Male |
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| Speciality | Dentist |
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| Experience | 9 Years |
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| Location | Cmc Dental Clinic, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Richard Peyton graduated from medical school in 2017
NPI Data:
- NPI Number: 1154053445
- Provider Enumeration Date: 06/27/2022
- Last Update Date: 08/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284002064
- Enrollment ID: I20250917002914
Medical Identifiers
Medical identifiers for Dr Jonathan Richard Peyton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154053445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 0295 (North Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 0295 (North Carolina) | Secondary |
| 125Q00000X | Oral Medicinist | 0295 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Charlotte-mecklenburg Hospital Authority | 2365353885 | 9 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Richard Peyton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Jonathan Richard Peyton,
558 E Brooklyn Village Ave Apt 313,
Charlotte, NC 28202-3436
Ph: (980) 808-7035 | Dr Jonathan Richard Peyton,
Cmc Dental Clinic, 1000 Blythe Blvd,
Charlotte, NC 28203-5812
Ph: (704) 355-2165 |
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