Healthcare Provider Details

I. General information

NPI: 1952259368
Provider Name (Legal Business Name): ON TIME CO 68 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 MCMILLAN RD
WHITEVILLE NC
28472-6773
US

IV. Provider business mailing address

631 MCMILLAN RD
WHITEVILLE NC
28472-6773
US

V. Phone/Fax

Practice location:
  • Phone: 910-918-0324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TRACY PEACOCK
Title or Position: OWNER/CEO
Credential:
Phone: 910-918-0324